International Society of Surgery (ISS)

Société Internationale de Chirurgie (SIC)

Integrated Societies: IATSIC | IASMEN | BSI | ISDS

SAFETY AND FEASIBILITY OF VIDEO-ASSISTED THORACOSCOPIC/THORACO-LAPAROSCOPIC ESOPHAGECTOMY FOR CORROSIVE ESOPHAGEAL STRICTURES drharijp@gmail.com

  Back
PE136
SAFETY AND FEASIBILITY OF VIDEO-ASSISTED THORACOSCOPIC/THORACO-LAPAROSCOPIC ESOPHAGECTOMY FOR CORROSIVE ESOPHAGEAL STRICTURES
Author Details
8
Including the presenting author
Hari Pillai drharijp@gmail.com All India Institute of Medical Sciences GI Surgery and Liver Transplantation New Delhi India *
Ashuvanth Subramaniyan ashuvanth@gmail.com All India Institute of Medical Sciences GI Surgery and Liver Transplantation New Delhi India
Kailash Kurida drkurdia@gmail.com All India Institute of Medical Sciences GI Surgery and Liver Transplantation New Delhi India
Anand Singh anandnsingh@aiims.edu All India Institute of Medical Sciences GI Surgery and Liver Transplantation New Delhi India
Saurabh Galodha saurabh_galodha@gmail.com All India Institute of Medical Sciences GI Surgery and Liver Transplantation New Delhi India
Rajesh Panwar rajeshpanwar81@gmail.com All India Institute of Medical Sciences GI Surgery and Liver Transplantation New Delhi India
Nihar Dash nagranjan@gmail.com All India Institute of Medical Sciences GI Surgery and Liver Transplantation New Delhi India
Sujoy Pal sujoypal@hotmail.com All India Institute of Medical Sciences GI Surgery and Liver Transplantation New Delhi India
Hari Pillai
drharijp@gmail.com
India
Abstract
Video
Corrosive esophageal stricture is a common aetiology for benign dysphagia in developing countries. Retrosternal bypass (gastric/colonic) is widely accepted. However retrosternal route for conduit is longer and associated with less dependent drainage of food in comparison to posterior mediastinal; in addition, in-situ esophagus may have long-term complications like mucocele and esophageal cancer. We aim to assess the safety and feasibility of video-assisted thoracoscopic(VATS)/thoraco-laparoscopic esophagectomy and posterior mediastinal gastric/colonic pull-up.
From January2024 to June2025, a total of seven patients with distal thoracic esophageal stricture with proximal dilation were selected for resection. Short-term outcomes were assessed in terms of safety and feasibility.
Total of seven patients, four of whom were female with a mean age of 25.2 years (range 16-37) were included. All patients underwent esophageal resection (5/7 VATS + laparotomy, 2/7 thoraco-laparoscopic) and gastric (4/7) or colonic pull-up (3/7). Esophago-gastric/colonic anastomosis was done in the neck in all. All patients had periesophageal adhesions and neovascularisation. Thoracoscopic resection was performed safely in all patients (average time for esophageal mobilisation 3.5hours, with a blood loss of approximately 50mL). None of the patients had Clevien-Dindo grade 4 or above complications. However, two patients experienced minor neck leaks, one left RLN paresis, and one left-sided pleural effusion (required drainage). On follow-up, all except one tolerated a regular oral diet.
Thoracoscopic esophagectomy is feasible and can be safely performed by experienced surgeons at high-volume centres. However, larger comparative studies with long-term follow-up are required to assess potential advantages of better QOL following resection over bypass.
 
Only accept images in .jpg or .png format. The image size must not exceed 1 MB.
 
Only accept images in .jpg or .png format. The image size must not exceed 1 MB.
Category
2 Digestive Surgery organized by ISDS
2.01 Upper Gastro-Intestinal Surgery
Submitted
0
Abstract Prizes
No
- Presenting author must register to the congress by 30 November 2025
- Author must submit a full-length manuscript conforming to the format of orignial articles in the World Journal of Surgery WJS by 30 November 2025
Yes
- Author must be age 40 or younger
- One of the authors must be a member of ISDS
- Presenting author must register to the congress by 30 November 2025
- Author must submit a full-length manuscript to the World Journal of Surgery WJS by 30 November 2025
Yes
- Author must be age 40 or younger
- One of the authors must be a member of ISDS
- Presenting author must register to the congress by 30 November 2025
- Author must submit a full-length manuscript to the World Journal of Surgery WJS by 30 November 2025
https://vimeo.com/1107334665/49886aa305?share=copy