Laparoscopic esophageal salvage for perforations after surgical and endoscopic treatment of achalasia — a case series

Victor T Wilcox, MD, Albert Y Huang, MD, Patrick R Reardon, MD, FACS, Brian J Dunkin, MD, FACS. The Methodist Institute for Technology, Innovation and Education (MITIE).

This video depicts the successful management of esophageal perforation using a minimally invasive approach after a laparoscopic Heller myotomy and describes two more cases in which it has been successful. The cases included were all delayed presentations of esophageal leak, and the minimally invasive approach taken avoided the need for temporary esophageal diversion and staged repair with loss of part of all of the esophagus. The technique is demonstrated, and the principles involved are described.

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