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Related Experiment Videos

[In Process Citation].

Lajos Kotsis¹, Szilárd Kostic¹, László Agócs²

¹Mellkassebészet, Országos Korányi Tbc és Pulmonológiai Intézet Budapest.

Magyar Sebeszet

|December 15, 2015

Summary

This summary is machine-generated.

This case report details a rare esophageal rupture after pneumonectomy, successfully treated with a transhiatal repair. The minimally invasive approach avoided further thoracic complications, demonstrating its efficacy for complex esophageal emergencies.

Keywords:

jobb oldali spontán nyelőcsőruptura lower mediastinal tumour with hiatal hernia mediastinalis tumorhoz társuló hiatushernia right-side spontaneous oesophageal rupture transhiatal approaches transhiatalis műtétek

Related Experiment Videos

Area of Science:

Thoracic surgery
Gastroenterology
Surgical innovation

Context:

Esophageal rupture is a rare but life-threatening complication, particularly following pneumonectomy.
Managing mediastinal masses and associated esophageal pathology presents significant surgical challenges.

Purpose:

To describe the successful management of a spontaneous esophageal rupture post-pneumonectomy using a transhiatal approach.
To evaluate the utility of the transhiatal approach for complex lower posterior mediastinal and esophageal conditions.

Summary:

A 68-year-old male developed esophageal rupture after left pneumonectomy, complicated by a large mediastinal mass, hiatal hernia, and ulcer.
A one-stage transhiatal approach was employed for primary esophageal repair, mediastinal mass excision, ulcer treatment, and fundoplication.
The patient demonstrated successful healing and recovery, highlighting the transhiatal approach's feasibility and safety in avoiding contralateral thoracotomy.

Impact:

The transhiatal approach offers a viable alternative to traditional mediastinal surgery for selected esophageal and posterior mediastinal pathologies.
This case expands the armamentarium for managing complex post-pneumonectomy esophageal emergencies.
Minimally invasive techniques can improve outcomes and reduce morbidity in high-risk surgical patients.