VA03.4. Step-Up Minimally Invasive Transhiatal Management of Boerhaave Syndrome: Primary Repair to Distal Esophagectomy With Retrosternal Gastric Conduit

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ID: 325716
2026
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Ranked #155 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

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Abstract
Abstract Topic Benign Disease: Other Video Description What the Video Shows This video demonstrates a step-up minimally invasive transhiatal approach for the management of Boerhaave syndrome. It includes laparoscopic transhiatal mediastinal lavage, primary closure of distal esophageal perforation, endoscopic placement of a covered self-expanding metal stent (SEMS), and escalation to laparoscopic transhiatal distal esophagectomy with retrosternal gastric conduit when contamination persists. Key operative steps, decision-making, and technical nuances are highlighted. Why This Video Is Important Boerhaave syndrome is traditionally managed with diversion procedures associated with high morbidity. This video illustrates a minimally invasive, esophageal-preserving and reconstructive alternative, avoiding thoracotomy and cervical diversion. The transhiatal approach and step-up decision-making strategy are rarely demonstrated in emergency esophageal surgery videos. The content offers high educational value by presenting practical operative techniques, escalation criteria, and bailout options, making it directly relevant to upper GI and minimally invasive surgeons.
Reference Key
openalex_W7203886061 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Ramakrishnan Parthasarathi, Dr M Bharath Cumar, Dr S Saravana Kumar, Dr N Ramesh, Chinnusamy Palanivelu, Jami Yaswanth Sai
Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.446
URL
https://doi.org/10.1093/dote/doag077.446
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