ABSTRACT
The impact of HIV/AIDS on the treatment of oesophageal neoplasms remains undefined due to a lack of adequate data. We present our experience in treating patients with HIV/AIDS who have oesophageal cancer using minimally invasive techniques and discuss important key factors during perioperative management. Two men with HIV/AIDS underwent minimally invasive oesophagectomies in our department, with adequate clinical and oncological outcomes. Minimally invasive oesophagectomy can be safe and has the well-established benefits of minimally invasive techniques, offering good perioperative results and oncological outcomes in patients with HIV/AIDS. Multimodality therapy is crucial.
Subject(s)
Esophageal Neoplasms/surgery , Esophagectomy/methods , HIV Infections/complications , Minimally Invasive Surgical Procedures/methods , Aged , Esophageal Neoplasms/complications , Humans , Male , Middle AgedABSTRACT
Laparoscopic Heller myotomy is the mainstay surgical treatment of oesophageal achalasia and has proven to be safe and effective over the course of time. Oesophageal perforation after myotomy can be a serious complication with devastating outcomes. Most commonly, mucosal perforation are detected intraoperatively or early postoperatively. We present an extremely rare case of late oesophageal perforation in a 28-year-old man treated with laparoscopic Heller myotomy for type II oesophageal achalasia, and its successful minimally invasive repair with laparoscopic primary suturing.
Subject(s)
Esophageal Achalasia/surgery , Esophageal Perforation/surgery , Heller Myotomy/adverse effects , Hyperphagia/complications , Postoperative Complications/surgery , Adult , Esophageal Perforation/diagnostic imaging , Esophageal Perforation/etiology , Humans , Laparoscopy , Male , Pneumoperitoneum/diagnostic imaging , Pneumoperitoneum/etiology , Pneumoperitoneum/surgery , Postoperative Complications/diagnostic imaging , Postoperative Complications/etiology , Suture Techniques , Time Factors , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Lung herniation is a rare entity, defined as a protrusion of the lung above the normal confines of thorax; it is caused by increased intrathoracic pressure and defects or weakness of the chest wall. Intercostal lung hernia can occur spontaneously or following thoracic trauma or surgery. Postoperative hernias are more commonly associated with less extensive surgical procedures, such as thoracoscopic surgery or mini-thoracotomy incisions, rather than with major thoracic procedures. We describe the first reported case of postoperative intercostal lung hernia following two-stage totally minimally invasive oesophagectomy for cancer, together with its successful surgical repair.
