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Intraoperative Complications During Benign Esophageal Surgery
Katelyn R Ward1, Jenny Bui2, Rishindra M Reddy3
1Section of Thoracic Surgery, University of Michigan, Ann Arbor, MI, USA; Department of Surgery, Corewell Health East William Beaumont University Hospital, 3601 West 13 Mile Road, Royal Oak, MI 48073, USA.
Thoracic Surgery Clinics
|July 6, 2025
Summary
This review covers intraoperative complications in benign esophageal surgery, focusing on bleeding and perforation. It highlights management strategies and techniques for common procedures to improve patient outcomes.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Esophageal Surgery
Background:
- Benign esophageal diseases include structural, motility, and inflammatory disorders.
- Medical therapy is common, but surgery is needed for complicated or refractory cases.
- Intraoperative complications can arise during surgical interventions.
Purpose of the Study:
- To outline intraoperative complications in benign esophageal surgery.
- To detail interventions for managing complications, particularly bleeding and perforation.
- To provide practical suggestions for optimizing surgical outcomes.
Main Methods:
- Review of intraoperative complications and management strategies in benign esophageal surgery.
- Focus on specific procedures: hiatal hernia repair, fundoplication, Heller myotomy, endoscopic dilation, and peroral endoscopic myotomy.
- Emphasis on preoperative preparation and risk mitigation.
Main Results:
- Key complications discussed include bleeding and perforation.
- Specific techniques for managing procedure-specific challenges are highlighted.
- Preoperative planning and adaptability are crucial for reducing complications.
Conclusions:
- Effective management of intraoperative complications in benign esophageal surgery requires preparedness and adaptability.
- Risk mitigation through preoperative preparation is essential.
- Optimizing outcomes involves understanding and addressing procedure-specific challenges.
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