Laparoscopic repair of XXXX after minimally invasive esophagectomy.

@entity1 @entity1353 @entity5 @entity391 @entity260 @entity357 @entity418 @entity158
INTRODUCTION: Minimally invasive esophagectomy for @entity5 decreases @entity260 but seems to be associated with higher occurrence of @entity357 ( @entity357 ). This study describes the incidence of this complication and the results of surgical repair. METHODS: Among 390 @entity1 with @entity418 treated by esophagectomies with laparoscopic gastric dissection from 2000 to 2013, 32 (8.2  %) @entity1 developed @entity357 . Demographics, diagnostic, surgical management and outcomes data were collected retrospectively. RESULTS: There were 25 @entity1 and 7 @entity1 with a median age of 60  years (39-78). The median time between esophagectomy and diagnosis of @entity357 was 10  months (3  days-96  months). The most frequent symptoms at the time of diagnosis were @entity158 (32  %), @entity1353 (21  %) and @entity391 (10  %), while @entity357 was asymptomatic in 10 @entity1 . @entity357 was located in the left chest in 97  % of @entity1 and involved either the transverse colon (91  %), or omentum (25  %) or the small bowel (12  %). The operation included the reintegration of the viscera associated with the closure of the pillars (100  %) and the establishment of a mesh (71  %). The operation was carried out by laparoscopy in 19 (59  %) @entity1 and was conducted in emergency in 6 (19  %) @entity1 . No @entity1 died, and the overall morbidity was 25  %. After a median follow-up of 40  months (range 1-55), five @entity1 died due to oncologic evolution and six (19  %) @entity1 had recurrence of @entity357 who required a second operation. CONCLUSION: @entity357 is a common complication after laparoscopic-assisted esophagectomy. Despite the use of mesh, postoperative morbidity and recurrence incidence remain high.
