Œsophagectomie pour lésion non tumorale

Oesophagectomy in benign conditions is an uncommon situation. Most of the time, emergent oesophagectomy is required for caustic necrosis or following oesophageal perforation. The aim of the intervention is then to remove the whole oesophagus, avoiding additional morbidity. Oesophagectomy without thoracotomy, and specially oesophageal stripping, achieve those two goals, quickly and safely. Other indications for oesophagectomy in benign conditions are more uncommon, mainly represented by peptic or caustic stenosis. In these indications, there is a small place for standard oesophagectomies, with or without thoracotomy. However, recent advances in minimally invasive surgery, either by laparoscopy or thoracoscopy, may change surgical approach for oesophagectomy in these indications. Various approaches for oesophagectomy are described in the present article, focused on particular techniques indicated in benign conditions. Oesophageal stripping, and minimally invasive oesophagectomy are particularly detailed.