{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:17:39Z","timestamp":1780352259131,"version":"3.54.1"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T00:00:00Z","timestamp":1672876800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,2]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction and importance:<\/jats:title>\n Gastric conduit dehiscence after esophagectomy represents a severe complication associated with high mortality. Surgical management is achieved through thoracotomy, but often ends up in conduit sacrifice and diversion.<\/jats:p>\n <\/jats:sec>\n \n Case presentation:<\/jats:title>\n A 59-years-old man underwent minimally invasive McKeown esophagectomy for esophageal adenocarcinoma. After a worsening of the postoperative course and evidence at the CT scan and endoscopy of highly suspect gastric conduit failure, the patient underwent an exploratory thoracoscopy, which revealed a partial dehiscence of the gastric conduit treated with resection of the dehiscent gastric wall by a linear stapler on the guide of a 36-french orogastric tube. Patient had a regular postoperative course without any complications and was discharged on the 6th postoperative day.<\/jats:p>\n <\/jats:sec>\n \n Clinical discussion:<\/jats:title>\n The management of conduit necrosis is extremely challenging. There are several interventional options and it is difficult to decide the most appropriate treatment for each individual patient. In our case we decided to perform a reintervention with a thoracoscopic approach, resecting the dehiscent area of the gastric conduit.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n \n Minimally invasive surgery is a valid option for the management of post-operative complications, including those in emergency setting.\n Re<\/jats:italic>\n -suturing a partial dehiscence of gastric conduit may be feasible if tissue conditions allow.\n <\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.107876","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T20:40:06Z","timestamp":1673296806000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Re-thoracoscopy for the management of gastric conduit dehiscence after minimally invasive McKeown esophagectomy"],"prefix":"10.1097","volume":"103","author":[{"given":"Pietro","family":"Anoldo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Vertaldi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Manigrasso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"D'Amore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni Domenico","family":"De Palma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Milone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-11-20260313","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1001\/jamasurg.2021.2376","article-title":"Risk prediction model of 90-day mortality after esophagectomy for cancer","volume":"156","author":"D'Journo","year":"2021","journal-title":"JAMA Surg"},{"key":"R2-11-20260313","doi-asserted-by":"crossref","first-page":"1822","DOI":"10.1007\/s00464-011-2123-1","article-title":"Randomized controlled trial of laparoscopic gastric ischemic conditioning prior to minimally invasive esophagectomy, the LOGIC trial","volume":"26","author":"Veeramootoo","year":"2012","journal-title":"Surg. 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Endosc"},{"key":"R4-11-20260313","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensusSurgical Case Report (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"International Journal of Surgery"},{"key":"R5-11-20260313","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.thorsurg.2006.01.003","article-title":"Esophageal conduit necrosis","volume":"16","author":"Wormuth","year":"2006","journal-title":"Thorac Surg Clin"},{"key":"R6-11-20260313","doi-asserted-by":"crossref","first-page":"155","DOI":"10.4240\/wjgs.v11.i3.155","article-title":"Conduit necrosis following esophagectomy: an up-to-date literature review","volume":"11","author":"Athanasiou","year":"2019","journal-title":"World J. Gastroenterol. Surg"},{"key":"R8-11-20260313","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s13019-017-0570-z","article-title":"Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit","volume":"12","author":"Liang","year":"2017","journal-title":"J Cardiothorac Surg"},{"key":"R9-11-20260313","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1016\/j.jtcvs.2006.08.017","article-title":"Gastric conduit staple line after esophagectomy: to oversew or not?","volume":"132","author":"Boone","year":"2006","journal-title":"J. Thorac. Cardiovasc. Surg"},{"key":"R10-11-20260313","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1159\/000235825","article-title":"The value of protecting the longitudinal staple line with invaginating sutures during esophageal reconstruction by gastric tube pull-up","volume":"26","author":"Silberhumer","year":"2009","journal-title":"Dig. 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