Gadiyaram Srikanth, Nachiappan Murugappan
Department of Surgical Gastroenterology and MIS, Sahasra Hospital, Bengaluru, Karnataka, India.
J Minim Access Surg. 2022 Oct-Dec;18(4):638-640. doi: 10.4103/jmas.jmas_67_22.
Tracheobronchial injuries are rare but dreaded and potentially lethal complications of oesophagectomy. The reported literature on tracheobronchial injuries in thoraco-laparoscopic oesophagectomy is sparse. They may be detected either intraoperatively or in the post-operative period. Those tracheobronchial injuries detected intraoperatively usually need conversion to an open procedure for appropriate management. The surgical approaches and the methods employed for closure depend on the size and location of the rent. The methods of surgical repair include primary closure, gastric patch closure, pericardial patch, pleural patch, pedicled intercostal muscle flap, dural graft and synthetic polytetrafluoroethylene grafts. Herein, we report a thoracoscopic repair of a major bronchial injury encountered in a patient during thoracoscopic oesophagectomy using a pericardial patch. To the best of our knowledge, this is the first report of a thoracoscopic repair of a bronchial injury using a pericardial patch.
气管支气管损伤是食管切除术罕见但可怕且可能致命的并发症。关于胸腹腔镜食管切除术中气管支气管损伤的报道文献稀少。它们可在术中或术后被发现。术中发现的气管支气管损伤通常需要转为开放手术进行妥善处理。手术入路和用于闭合的方法取决于裂口的大小和位置。手术修复方法包括一期缝合、胃补片修补、心包补片、胸膜补片、带蒂肋间肌瓣、硬脑膜移植和合成聚四氟乙烯移植。在此，我们报告一例在胸腔镜食管切除术中使用心包补片对一名患者出现的主要支气管损伤进行胸腔镜修复的病例。据我们所知，这是首例使用心包补片进行支气管损伤胸腔镜修复的报道。
