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Review
. 2025 Aug;35(3):329-337.
doi: 10.1016/j.thorsurg.2025.04.004. Epub 2025 May 21.

Intraoperative Complications During Benign Esophageal Surgery

Affiliations
Review

Intraoperative Complications During Benign Esophageal Surgery

Katelyn R Ward et al. Thorac Surg Clin. 2025 Aug.

Abstract

Benign esophageal disease encompasses structural, motility, and inflammatory disorders and is often managed with medical therapy unless complicated or refractory disease necessitates surgical intervention. This article outlines intraoperative complications in benign esophageal surgery and interventions, with a focus on bleeding and perforation management. Techniques for addressing procedure-specific challenges, including hiatal hernia repair and fundoplication, Heller myotomy, and endoscopic dilation, and peroral endoscopic myotomy are highlighted. Preoperative preparation and risk mitigation are emphasized as essential for reducing complications. The article also provides practical suggestions to optimize outcomes through preparedness and adaptability in more complex surgical scenarios.

Keywords: Benign esophageal surgery; Esophageal perforation; Intraoperative complications; Intraoperative hemorrhage.

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Conflict of interest statement

Disclosures R.M. Reddy: Intuitive Surgical (teaching site/consultant), Atricure and On Target Laboratories (Advisory Board and Grants), Medtronic and Genentech (Advisory Board), BMS (Speaker), Trinity Health (Consultant). K.R. Ward: Nothing to disclose. J. Bui: Nothing to disclose.

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