Abstract
Intraoperative disasters associated with transhiatal esophagectomy (THE)—major mediastinal bleeding and tracheal tears—are rare, occurring in < 1 % of patients undergoing this operation. Risk factors include mid-third esophageal cancers or inflammatory strictures, mediastinal calcifications seen on CT scan, prior esophagomyotomy, prior esophageal perforation, and an obese “soft” body habitus. Because of the infrequency of these intraoperative mishaps, it is important that their management be “rehearsed” with emphasis on identifying the site of the injury, achieving at least temporary control, and the most effective approach to definitive correction.
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Orringer, M. (2015). Transhiatal Esophagectomy—Intraoperative Disasters. In: Pawlik, T., Maithel, S., Merchant, N. (eds) Gastrointestinal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2223-9_4
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DOI: https://doi.org/10.1007/978-1-4939-2223-9_4
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