Injury of the thoracic aorta during laparoscopic esophagectomy

Luigi Bonavina, Davide Bona, Greta Saino, Marco Nencioni

Research output: Contribution to journalArticlepeer-review


We report an unusual complication of laparoscopic esophagectomy for carcinoma. During posterior transhiatal dissection, massive bleeding occurred from the left side of the supradiaphragmatic thoracic aorta. A small tear was clearly visible and temporary bleeding control by packing and pressure with a grasper through one of the trocars was effective. A median laparotomy was performed and the aorta was sutured using a standard laparoscopic needle holder. The esophagectomy was successfully completed through a right thoracic approach. Injury to the intrathoracic aorta may occur during transhiatal dissection of the lower mediastinum. Use of a laparoscopic needle holder allowed to repair the supradiaphragmatic aorta through a laparotomy without the need of patient repositioning for a transthoracic approach.

Original languageEnglish
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Issue number2
Publication statusPublished - Apr 2009


  • Aortic injury
  • Esophageal carcinoma
  • Esophagectomy
  • Thoracic aorta

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)


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