食管癌食管切除术后食管气管瘘的闭合

Closure of esophagotracheal fistula after esophagectomy for esophageal cancer.

作者信息

Arimoto Junji, Hatada Atsutoshi, Kawago Mitsumasa, Nishimura Osamu, Maebeya Shinji, Okamura Yoshitaka

机构信息

Department of Thoracic and Cardiovascular Surgery, Wakayama National Hospital, 1138 Wada, Mihama-chou, Hidaka-gun, Wakayama, 644-0044, Japan.

Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2015 Nov;63(11):636-9. doi: 10.1007/s11748-015-0537-8. Epub 2015 Jul 19.

DOI:10.1007/s11748-015-0537-8

PMID:26189183

Abstract

Fistula between the trachea and esophagogastric anastomosis after esophagectomy is rare. We successfully treated a 75-year-old woman with such a lesion by single-stage repair. The patient had undergone radical esophagectomy 20 years ago, and repeatedly developed aspiration pneumonia for recent 5 years. Radiological and endoscopic examinations demonstrated the fistula between the trachea at the level of sternal notch and esophagogastric anastomosis. The fistula was separated and the defects on both sides were closed. A sternocleidomastoid muscle flap was inserted between the two structures. The postoperative course was uneventful.

摘要

食管癌切除术后气管与食管胃吻合口之间的瘘很少见。我们成功地对一名75岁患有这种病变的女性进行了一期修复治疗。该患者20年前接受了根治性食管癌切除术，近5年来反复发生吸入性肺炎。影像学和内镜检查显示胸骨切迹水平的气管与食管胃吻合口之间存在瘘。分离瘘口并封闭两侧的缺损。在这两个结构之间插入一块胸锁乳突肌瓣。术后过程顺利。