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腹腔镜下经胸骨后胃上提术治疗纵隔瘘管性肿块

Laparoscopic retrosternal gastric pull-up for fistulized mediastinal mass.

作者信息

Mungo Benedetto, Barbetta Arianna, Lidor Anne O, Stem Miloslawa, Molena Daniela

机构信息

Benedetto Mungo, Division of Thoracic Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21218, United States.

出版信息

World J Gastrointest Surg. 2017 Mar 27;9(3):92-96. doi: 10.4240/wjgs.v9.i3.92.

DOI:10.4240/wjgs.v9.i3.92
PMID:28396722
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5366931/
Abstract

We describe the case of a patient successfully reconstructed with laparoscopic retrosternal gastric pull-up after esophagectomy for unresectable posterior mediastinal inflammatory myofibroblastic tumor, eroding into the esophagus and compressing the airways. A partial esophagectomy with esophagostomy was performed for treatment of esophageal pleural fistula and empyema, while the airways were managed with the placement of an endobronchial stent. Gastrointestinal reconstruction was performed using a laparoscopic approach to create a retrosternal tunnel for gastric conduit pull-up and cervical anastomosis. The patient was discharged uneventfully after 6 d, and has done very well at home with normal diet.

摘要

我们描述了一例患者的病例，该患者因不可切除的后纵隔炎性肌纤维母细胞瘤侵犯食管并压迫气道，在食管切除术后通过腹腔镜胸骨后胃上提术成功重建。为治疗食管胸膜瘘和脓胸，进行了部分食管切除术并做了食管造口术，同时通过放置支气管内支架来处理气道问题。采用腹腔镜方法进行胃肠道重建，创建胸骨后隧道用于胃管道上提和颈部吻合。患者术后6天顺利出院，在家饮食正常，恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/0d859f5acef4/WJGS-9-92-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/f652b04d40ce/WJGS-9-92-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/02e2c10c7545/WJGS-9-92-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/748f87be0a08/WJGS-9-92-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/942180c9f9fe/WJGS-9-92-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/0c357b23e73d/WJGS-9-92-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/0d859f5acef4/WJGS-9-92-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/f652b04d40ce/WJGS-9-92-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/02e2c10c7545/WJGS-9-92-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/748f87be0a08/WJGS-9-92-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/942180c9f9fe/WJGS-9-92-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/0c357b23e73d/WJGS-9-92-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe7/5366931/0d859f5acef4/WJGS-9-92-g006.jpg

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