Treatment of Instrumental Perforation of Esophageal Malignancy by Transhiatal Esophagectomy

Charles J. Yeo, Keith D. Lillemoe, Andrew S. Klein, Michael J. Zinner

Research output: Contribution to journalArticlepeer-review


Perforation of esophageal malignancy secondary to instrumentation is an uncommon but catastrophic complication. Esophageal perforation at the site of an obstructing esophageal malignancy precludes simple operative repair and mandates esophageal resection with reestablishment of gastrointestinal tract continuity. In the past the standard surgical approach has involved transthoracic esophageal resection via thoracotomy. We have successfully treated four patients with perforated esophageal neoplasms by transhiatal esophagectomy and cervical esophagogastrostomy, thus avoiding thoracotomy in high-risk patients. We consider transhiatal esophagectomy an advantageous alternative in the management of selected cases of instrumental esophageal perforation adjacent to an esophageal malignancy.

Original languageEnglish (US)
Pages (from-to)1016-1018
Number of pages3
JournalArchives of surgery
Issue number8
StatePublished - Aug 1988

ASJC Scopus subject areas

  • Surgery

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