Abstract
We report on a patient with esophageal hiatus hernia after laparoscopy-assisted total gastrectomy.
The patient was an 80-year-old man who underwent laparoscopy-assisted total gastrectomy and Roux-en-Y reconstruction for cardiac gastric cancer. On the 2nd postoperative day, he complained of dyspnea, which became progressively worse. The computed tomography scan showed that the dilated intestine was transmitted to the left thoracic space, with which we made the diagnosis of esophageal hiatus hernia after the laparoscopy-assisted total gastrectomy. On the same day, the repair of the esophageal hiatus hernia was performed by laparoscopy. The examination inside the abdominal cavity with a laparoscope showed that the small intestine and transverse colon were incarcerated in the thoracic cavity through the esophageal hiatus.
The protrusion of intestines was reduced into the abdominal cavity, and the hernia orifice was occluded by suturing the anterior and posterior walls of the diaphragm crus.
Esophageal hiatus hernia after surgery is a rare entity and our laparoscope-assisted repair was the first case.
