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Diaphragmatic herniation after thoracolaparoscopic esophagectomy for carcinoma of the esophagus: a report of six cases

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Abstract

Diaphragmatic herniation after esophagectomy for carcinoma of the esophagus is a rare postoperative complication. Several recent reports reveal that minimally invasive esophagectomy (MIE) with mediastinal reconstruction is associated with a higher incidence of herniation compared with open esophagectomy. Thoracolaparoscopic esophagectomy (TLE), also called “total MIE”, results in fewer peritoneal adhesions around the hiatal region of both the thoracic and abdominal cavities. This may cause abdominal contents to be taken up to the thoracic cavity. We report six cases of diaphragmatic herniation after TLE. Of these, five patients underwent surgical repair and one patient without symptoms is followed up carefully. In TLE, anchoring the gastric conduit to the hiatus is essential for preventing herniation.

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Acknowledgments

We greatly appreciate the members of the Division of Esophageal Surgery for their critical discussion of our manuscript. We also appreciate the members of the Division of Clinical Radiology for providing us with information about the imaging examinations.

Ethical Statement

This article does not contain any studies with human or animal subjects performed by any of the authors.

Conflict of interest

Author Kanamori, Author Fujita, and Author Daiko declare that they have no conflict of interest.

Human rights statement and informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later revision. Informed consent or substitute for it was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Department of Esophageal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Chiba, Kashiwa, 277-8577, Japan

    Jun Kanamori, Takeo Fujita & Hiroyuki Daiko

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  1. Jun Kanamori
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  2. Takeo Fujita
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  3. Hiroyuki Daiko
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Corresponding author

Correspondence to Hiroyuki Daiko.

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Kanamori, J., Fujita, T. & Daiko, H. Diaphragmatic herniation after thoracolaparoscopic esophagectomy for carcinoma of the esophagus: a report of six cases. Esophagus 13, 88–92 (2016). https://doi.org/10.1007/s10388-015-0485-5

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  • DOI: https://doi.org/10.1007/s10388-015-0485-5

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