Lifeline Institute of Minimal Access Surgery,
New Avadi Road, Alagappa Nagar, Kilpauk, Chennai, Tamil Nadu
India
Research Article
Minimally Invasive Esophagectomy in People Living with HIV
Author(s): Rajkumar JS, Akbar S, Anirudh JR, Prabhakaran R, N Kumaraswamy, Selvamuthu Poongulali, Jayakrishna Reddy and Nabeel NazeerRajkumar JS, Akbar S, Anirudh JR, Prabhakaran R, N Kumaraswamy, Selvamuthu Poongulali, Jayakrishna Reddy and Nabeel Nazeer
Background: People living with HIV infection have a longer survival rate after the introduction of Highly active
antiretroviral therapy (HAART). Hence major resections in these patients can be performed safely.
Materials and methods: 5 retro positive patients underwent minimally invasive esophagostomy (MIE) in our
institution between 2010 and 2015. Patient demographics, HIV status (CD4 count and viral load), Post-operative
mortality, technical feasibility and outcomes were analyzed.
Results: Out of the 5 thoraco-lap esophagectomies, none required conversion. One patient died in the
postoperative period due to overwhelming chest infection and sepsis (mortality - 20%). Two patients (40%) required
prolonged ventilatory support in the postoperative setting. We had anastomotic leak in one patient (20%), .. Read More»
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