Comparative study of postoperative complications after open and laparoscopic surgery of the perforated peptic ulcer: Advantages of the laparoscopic approach.

Background: Despite the acceptance of the laparoscopic approach for the treatment of perforated peptic ulcers, its definitive implantation is still a matter of discussion. We performed a comparative study between the open and laparoscopic approach focused on postoperative surgical complications.

Methods: Retrospective observational study in which patients operated on for perforated peptic ulcus in our center between 2001 and 2017 were analyzed.

Esophageal perforation after dilation due to a peptic stricture that concealed esophageal cancer.

The management and prognosis of benign esophageal strictures differ from those of malignant strictures. Distinguishing between the two entities may occasionally be challenging, despite endoscopy and biopsies. The consequences of erroneous treatment may be fatal.

Intrathoracic leak after an Ivor Lewis procedure for an esophageal neoplasm treated with a stent.

A 75-year-old male who underwent an Ivor Lewis esophagectomy due to a distal adenocarcinoma had a leak at the gastroplasty on the 5th day after surgery, which required two surgeries and a primary suture. He was transferred to our hospital due to a poor outcome and endoscopy revealed a 2.5cm gap perianastomotically on the gastroplasty wall, for which a stent was placed.