Publication:
Surgical Technology International XVIII - General Surgery
Article title:
Implementing the General Use of Dissection Devices in Thyroid Surgery from Prospective Randomized Trial to Daily Use
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Author(s)
Peter E. Goretzki, M.D.(1)
Chief
Katharina Schwarz, M.D.(1)
Assistant Director Endocrine Surgery
Berhard J. Lammers, M.D.(2)
Chief Operating Doctor
(1)Department of General Surgery, Abdominal Surgery, Coloproctology, and Hernia Surgery,
Lukaskrankenhaus, Neuss, Germany
(2)Coloproctology and Hernia Surgery, Lukaskrankenhaus, Neuss, Germany
Abstract
Esophageal perforation after endoscopic instrumentation is a surgical emergency. Prompt diagnosis and treatment have a significant impact on mortality. In the setting of esophageal cancer, iatrogenic perforation presents a difficult challenge for surgical management as primary repair is not feasible. In this chapter, we describe the use of a minimally invasive Ivor Lewis esophagectomy for the management of an iatrogenic esophageal perforation in a patient with metastatic esophageal cancer.
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