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Case Reports in Surgery
Volume 2017 (2017), Article ID 4308628, 3 pages
https://doi.org/10.1155/2017/4308628
Case Report

Emergent Minimally Invasive Esophagogastrectomy

Department of Thoracic Surgery, Albany Medical Center, 50 New Scotland, Albany, NY 12208, USA

Correspondence should be addressed to Thomas Fabian; ude.cma.liam@tnaibaf

Received 23 February 2017; Accepted 16 March 2017; Published 29 March 2017

Academic Editor: Serge Landen

Copyright © 2017 Thomas Fabian et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Esophageal perforation in the setting of a malignancy carries a high morbidity and mortality. We describe our management of such a patient using minimally invasive approach. Methods. An 83-year-old female presented with an iatrogenic esophageal perforation during the workup of dysphagia. She was referred for surgical evaluation immediately after the event which occurred in the endoscopy suite. Minimally invasive esophagectomy was chosen to provide definitive treatment for both her malignancy and esophageal perforation. Results. Following an uncomplicated operative course, she was eventually discharged to extended care for rehabilitation and remains alive four years after her resection. Conclusion. Although traditional open techniques are the accepted gold standard of treatment for esophageal perforation, minimally invasive esophagectomy plays an important role in experienced hands and may be offered to such patients.