两例成人先天性支气管食管瘘，采用瘘管切开术治疗。

Two unusual cases of adult onset congenital bronchoesophageal fistulas treated with fistula division.

机构信息

Department of Thoracic Surgery, Marmara University Faculty of Medicine, Istanbul, Turkey.

Department of Thoracic Surgery, University Hospital Gasthuisberg, Leuven, Belgium.

出版信息

Ann Thorac Surg. 2014 Feb;97(2):685-7. doi: 10.1016/j.athoracsur.2013.06.111.

DOI:10.1016/j.athoracsur.2013.06.111

PMID:24484809

Abstract

Adult onset congenital bronchoesophageal fistula is a very rare entity. We report 2 cases of adult onset type II congenital bronchoesophageal fistula between the distal thoracic esophagus and the lower lobe superior segmental bronchi surgically treated through a right and left thoracotomy, respectively. In both cases the fistula was transected and sutured with no parenchyma resection. Both patients had an uneventful recovery. Resection of the underlying parenchyma during surgery for bronchoesophageal fistula is not always necessary as the lung can heal in time after performing just fistulectomy.

摘要

成人先天性支气管食管瘘非常罕见。我们报告了 2 例通过右、左开胸手术分别治疗的远端胸段食管和下叶上段支气管之间的 II 型成人先天性支气管食管瘘。在这两种情况下，瘘管均被横断缝合，无需切除实质。两名患者均恢复顺利。在支气管食管瘘的手术中，切除潜在的实质并不总是必要的，因为在进行瘘管切除术后，肺可以及时愈合。