Atsuta Y, Nakayama K, Kitada M, Yoshida H, Hirata S, Sasajima T
Department of Surgery, Rumoi City General Hospital, Hokkaido, Japan.
Kyobu Geka. 1999 Jul;52(7):531-4.
We have experienced a case of mediastinal abscess and tracheal fistula after operation for esophageal cancer and successfully closed by using intercostal muscle pedicle flap. A 61-year-old male underwent esophagectomy for advanced esophageal cancer. On the 12th postoperative day, mediastinal abscess caused by leakage was detected, and drainage of the mediastinal and thoracic cavity was performed. On the 29th postoperative day, tracheal fistula was detected, and operation was performed in order to close the fistula by using of intercostal muscle pedicle flap. His postoperative course was fair and general condition was improvement, esophageal reconstruction using of free jejunal graft was performed and oral ingestion was started.
我们遇到了一例食管癌术后纵隔脓肿和气管瘘的病例,并通过使用带蒂肋间肌瓣成功闭合。一名61岁男性因晚期食管癌接受了食管切除术。术后第12天,检测到因渗漏导致的纵隔脓肿,并进行了纵隔和胸腔引流。术后第29天,检测到气管瘘,并通过使用带蒂肋间肌瓣进行手术以闭合瘘口。他的术后病程顺利,一般状况有所改善,进行了游离空肠移植的食管重建,并开始经口进食。