A Case of Laparoscopic Hernia Repair for Esophageal Hiatal Hernia Involving the Transverse Colon after Laparoscopic Proximal Gastrectomy

A 45-year-old man underwent laparoscopic proximal gastrectomy with jejunal interposition via the antecolic route for early esophagogastric junction cancer four years ago. Nine months postoperatively, a CT scan revealed the transverse colon herniating into the left thoracic cavity through the esophageal hiatus. The size of the hernia gradually increased and the patient experienced respiratory distress during exercise. Thus, laparoscopic hernia repair was performed for esophageal hiatal hernia involving the transverse colon. The herniated transverse colon and omentum were reduced in the abdomen. The size of the hernia orifice was 8 cm. The hiatal hernia defect was closed by primary suture, with mesh placed to overlie the posterior hiatal closure. The postoperative course was uneventful and there has been no recurrence in 6 months after surgery. We report a rare case of laparoscopic hernia repair for esophageal hiatal hernia involving the transverse colon after laparoscopic proximal gastrectomy.