Abstract

LAU TORRES, Víctor Eduardo  and  SALAZAR TANTALEAN, Víctor Augusto. Esophagectomy and colonic orthotopic transposition by video-assisted thoracoscopy (VATS). Rev. gastroenterol. Perú [online]. 2009, vol.29, n.4, pp.362-366. ISSN 1022-5129.

The esophagectomy and colonic transposition by video-assisted thoracoscopy (VATS), still not recommended as a technique of choice for the treatment of benign and malignant esophagus despite good results in hospitalization, morbidity and mortality. This case describes a 24 year old male patient who swallowed muriatic acid, causing severe injuries to the esophagus and stomach. Initially, he performed jejunal transposition which subsequently are causing progressive dysphagia, readmitted 2 years later. This time surgery is performed in 2 stages: (1) rise of the ascending colon and jejunum distal to oesophageal vasculature itself, by open surgery (2) esophagectomy and colonic orthotopic transposition by VATS and posterior hypopharyngeal anastomosis in colon anterior cervical region. Patient was discharged without complications and shorter hospital stay. Currently no evidence of dysphagia, improved nutritional status and ultimately better quality of life.

Keywords : esophagectomy; orthotopic colonic transposition; video-assisted thoracoscopic surgery (VATS).

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