Simultaneous Repair of Paraesophageal Hernia and Colectomy for Colon Cancer

Matthew Mackowsky, MD, Nicole Hadjiloucas, MD, Cassandra Lira, MS3, Frank Borao, MD

Department of Surgery, Monmouth Medical Center, Long Branch, New Jersey (Drs. Mackowsky and Borao).
Department of Surgery, Hackensack University Medical Center, Hackensack, New Jersey (Drs. Hadjiloucas and Lira).

ABSTRACT

Background: Concurrent laparoscopic paraesophageal repair with colectomy has yet to be described in the literature.

Case Description: An 88-y-old male with shortness of breath and rectal bleeding presented to the emergency depart- ment. Workup ultimately revealed a nonobstructing ascending colon mass within the sac of type IV paraesophageal hernia. The decision was made to proceed with laparoscopic colectomy with concurrent paraesophageal hernia repair.

Conclusion: To reduce overall operative time and optimize recovery, the decision was made to perform both operations synchronously. The patient suffered no intraoperative or postoperative complications and experienced a full and timely recovery. To the best of our knowledge, simultaneous colon resection with paraesophageal hernia repair has not been described in the literature. Despite the inherent high risk, performing both procedures in a single operation helped to decrease the patient’s anesthesia time and overall recovery time as well as risks of reoperation.

Key Words: paraesophageal hernia repair, colectomy, adenocarcinoma.

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