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 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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