Single-Admission, Staged Restoration of Gastrointestinal Continuity After Right Gastroepiploic Artery Damage

Gijsbert I van Boxel; B Feike Kingma; Michiel F G de Maat; Frank Voskens; Pascal P A Schellekens; Richard van Hillegersberg

doi:10.1016/j.athoracsur.2019.07.042

Single-Admission, Staged Restoration of Gastrointestinal Continuity After Right Gastroepiploic Artery Damage

Ann Thorac Surg. 2020 Apr;109(4):e259-e261. doi: 10.1016/j.athoracsur.2019.07.042. Epub 2019 Sep 5.

Authors

Gijsbert I van Boxel¹, B Feike Kingma², Michiel F G de Maat², Frank Voskens², Pascal P A Schellekens³, Richard van Hillegersberg²

Affiliations

¹ Department of Surgery, University Medical Centre Utrecht, Utrecht, the Netherlands. Electronic address: [email protected].
² Department of Surgery, University Medical Centre Utrecht, Utrecht, the Netherlands.
³ Department of Plastic Surgery, University Medical Centre Utrecht, Utrecht, the Netherlands.

PMID: 31494139
DOI: 10.1016/j.athoracsur.2019.07.042

Abstract

A case of iatrogenic right gastroepiploic artery injury during laparoscopic transhiatal esophagectomy is reported. This case report describes microvascular repair of the right gastroepiploic artery and vein. Subsequent intraoperative decision making with regard to a staged, single-admission successful esophagectomy is discussed. In this case of a single-admission, staged esophagectomy, the gastric conduit was be preserved after transection of the right gastroepiploic artery and vein.

Publication types

Case Reports

MeSH terms

Esophageal Neoplasms / surgery*
Esophagectomy / methods*
Esophagogastric Junction*
Gastroepiploic Artery / injuries*
Gastroepiploic Artery / surgery*
Humans
Intestines
Intraoperative Complications / surgery*
Male
Middle Aged
Stomach / surgery