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Postesophagectomy Diaphragmatic Prolapse after Robot-Assisted Minimally Invasive Esophagectomy (RAMIE)

Background: Postesophagectomy diaphragmatic prolapse (PDP) is a major complication after esophagectomy with significant mortality and morbidity. However, in the current literature, treatment and outcomes are not evaluated for patients undergoing an Ivor Lewis Robot-assisted minimally invasive esopha...

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Autores principales: Brunner, Stefanie, Müller, Dolores T., Eckhoff, Jennifer A., Lange, Valentin, Chon, Seung-Hun, Schmidt, Thomas, Schröder, Wolfgang, Bruns, Christiane J., Fuchs, Hans F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10531742/
https://www.ncbi.nlm.nih.gov/pubmed/37762986
http://dx.doi.org/10.3390/jcm12186046
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author Brunner, Stefanie
Müller, Dolores T.
Eckhoff, Jennifer A.
Lange, Valentin
Chon, Seung-Hun
Schmidt, Thomas
Schröder, Wolfgang
Bruns, Christiane J.
Fuchs, Hans F.
author_facet Brunner, Stefanie
Müller, Dolores T.
Eckhoff, Jennifer A.
Lange, Valentin
Chon, Seung-Hun
Schmidt, Thomas
Schröder, Wolfgang
Bruns, Christiane J.
Fuchs, Hans F.
author_sort Brunner, Stefanie
collection PubMed
description Background: Postesophagectomy diaphragmatic prolapse (PDP) is a major complication after esophagectomy with significant mortality and morbidity. However, in the current literature, treatment and outcomes are not evaluated for patients undergoing an Ivor Lewis Robot-assisted minimally invasive esophagectomy (IL-RAMIE). The aim of this study is to evaluate the incidence of PDP after IL-RAMIE. Moreover, the study aims to determine whether using a minimally invasive approach in the management of PDP after an IL-RAMIE procedure is safe and feasible. Materials and Methods: This study includes all patients who received an IL-RAMIE at our high-volume center (>200 esophagectomies/year) between April 2017 and December 2022 and developed PDP. The analysis focuses on time to prolapse, symptoms, treatment, surgical method, and recurrence rates of these patients. Results: A total of 185 patients underwent an IL-RAMIE at our hospital. Eleven patients (5.9%) developed PDP. Patients presented with PDP after a medium time of 241 days with symptoms like reflux, nausea, vomiting, and pain. One-third of these patients did not suffer from any symptoms. In all cases, a CT scan was performed in which the colon transversum always presented as the herniated organ. In one patient, prolapse of the small intestine, pancreas, and greater omentum also occurred. A total of 91% of these patients received a revisional surgery in a minimally invasive manner with a mean hospital stay of 12 days. In four patients, PDP recurred (36%) after 13, 114, 119 and 237 days, respectively. Conclusion: This study shows that a minimally invasive approach in repositioning PDP is a safe and effective option after IL-RAMIE.
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spelling pubmed-105317422023-09-28 Postesophagectomy Diaphragmatic Prolapse after Robot-Assisted Minimally Invasive Esophagectomy (RAMIE) Brunner, Stefanie Müller, Dolores T. Eckhoff, Jennifer A. Lange, Valentin Chon, Seung-Hun Schmidt, Thomas Schröder, Wolfgang Bruns, Christiane J. Fuchs, Hans F. J Clin Med Article Background: Postesophagectomy diaphragmatic prolapse (PDP) is a major complication after esophagectomy with significant mortality and morbidity. However, in the current literature, treatment and outcomes are not evaluated for patients undergoing an Ivor Lewis Robot-assisted minimally invasive esophagectomy (IL-RAMIE). The aim of this study is to evaluate the incidence of PDP after IL-RAMIE. Moreover, the study aims to determine whether using a minimally invasive approach in the management of PDP after an IL-RAMIE procedure is safe and feasible. Materials and Methods: This study includes all patients who received an IL-RAMIE at our high-volume center (>200 esophagectomies/year) between April 2017 and December 2022 and developed PDP. The analysis focuses on time to prolapse, symptoms, treatment, surgical method, and recurrence rates of these patients. Results: A total of 185 patients underwent an IL-RAMIE at our hospital. Eleven patients (5.9%) developed PDP. Patients presented with PDP after a medium time of 241 days with symptoms like reflux, nausea, vomiting, and pain. One-third of these patients did not suffer from any symptoms. In all cases, a CT scan was performed in which the colon transversum always presented as the herniated organ. In one patient, prolapse of the small intestine, pancreas, and greater omentum also occurred. A total of 91% of these patients received a revisional surgery in a minimally invasive manner with a mean hospital stay of 12 days. In four patients, PDP recurred (36%) after 13, 114, 119 and 237 days, respectively. Conclusion: This study shows that a minimally invasive approach in repositioning PDP is a safe and effective option after IL-RAMIE. MDPI 2023-09-19 /pmc/articles/PMC10531742/ /pubmed/37762986 http://dx.doi.org/10.3390/jcm12186046 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Brunner, Stefanie
Müller, Dolores T.
Eckhoff, Jennifer A.
Lange, Valentin
Chon, Seung-Hun
Schmidt, Thomas
Schröder, Wolfgang
Bruns, Christiane J.
Fuchs, Hans F.
Postesophagectomy Diaphragmatic Prolapse after Robot-Assisted Minimally Invasive Esophagectomy (RAMIE)
title Postesophagectomy Diaphragmatic Prolapse after Robot-Assisted Minimally Invasive Esophagectomy (RAMIE)
title_full Postesophagectomy Diaphragmatic Prolapse after Robot-Assisted Minimally Invasive Esophagectomy (RAMIE)
title_fullStr Postesophagectomy Diaphragmatic Prolapse after Robot-Assisted Minimally Invasive Esophagectomy (RAMIE)
title_full_unstemmed Postesophagectomy Diaphragmatic Prolapse after Robot-Assisted Minimally Invasive Esophagectomy (RAMIE)
title_short Postesophagectomy Diaphragmatic Prolapse after Robot-Assisted Minimally Invasive Esophagectomy (RAMIE)
title_sort postesophagectomy diaphragmatic prolapse after robot-assisted minimally invasive esophagectomy (ramie)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10531742/
https://www.ncbi.nlm.nih.gov/pubmed/37762986
http://dx.doi.org/10.3390/jcm12186046
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