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Updated: Sep 16, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
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.
Abstract:
Benign esophageal disease encompasses structural, motility, and inflammatory disorders and is often managed with medical therapy unless complicated or refractory disease necessitates surgical intervention. This article outlines intraoperative complications in benign esophageal surgery and interventions, with a focus on bleeding and perforation management. Techniques for addressing procedure-specific challenges, including hiatal hernia repair and fundoplication, Heller myotomy, and endoscopic dilation, and peroral endoscopic myotomy are highlighted. Preoperative preparation and risk mitigation are emphasized as essential for reducing complications. The article also provides practical suggestions to optimize outcomes through preparedness and adaptability in more complex surgical scenarios.
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