Kalmár K, Molnár T F, Morgan A, Horváth O P
First Department of Surgery, University Medical School of Pécs, Ifjúság u. 13, H-7624, Pécs, Hungary.
Eur J Cardiothorac Surg. 2000 Sep;18(3):363-5. doi: 10.1016/s1010-7940(00)00520-0.
Two cases of neoesophago-tracheal fistula are described. After esophagectomy for cancer a fistula developed between the trachea and the pulled-up stomach probably because of the ischaemic effect of the tracheostomy tube. At single stage repairs, the fistulae were divided and the gastric defects were closed directly. In one case, tracheal resection and anastomosis was necessary. The defect on the membranous trachea in both cases was patched with an autologous fascia lata graft. A left pectoralis major muscle flap was interposed between the suture lines to prevent recurrence of the fistula. Treatment of this potentially life-threatening and rare condition yielded excellent results.
本文描述了两例新发性食管气管瘘病例。在因癌症进行食管切除术后，气管与上提的胃之间形成了瘘管，可能是由于气管造口管的缺血效应所致。在一期修复中，将瘘管分开并直接封闭胃缺损处。在其中一例中，需要进行气管切除和吻合术。两例患者膜性气管的缺损均采用自体阔筋膜移植修补。在缝合线之间置入左胸大肌肌瓣以防止瘘管复发。对这种潜在危及生命的罕见病症的治疗取得了极佳效果。
