Surgical Oncology, Thoracic Division, Fox Chase Cancer Center, Philadelphia, PA, USA.
Department of Thoracic Medicine and Surgery, Temple University, Philadelphia, PA, USA.
Innovations (Phila). 2022 Sep;17(5):449-451. doi: 10.1177/15569845221124131. Epub 2022 Oct 6.
Bipolar esophageal exclusion is a "Hail Mary" procedure for control of leak and persistent mediastinal soilage from esophageal injury. Usually, the esophageal remnant scars down without negative consequences. Esophageal mucocele is a rare complication of bipolar esophageal exclusion. This is a case report of an iatrogenic esophageal transection and the subsequent treatment course. A retrospective chart review of the patient's medical and surgical history was performed. After a robotic hiatal hernia repair at an outside institution, the patient suffered an esophageal leak and was surgically treated with esophageal exclusion, wide drainage of the mediastinum, and decortication of the resulting empyema. She subsequently underwent retrosternal gastric conduit for esophageal reconstruction 4 months later. Three years after this, she developed a rare complication of esophageal exclusion, a symptomatic esophageal mucocele that required resection.
双极食管切除术是一种用于控制食管损伤导致的漏液和持续性纵隔污染的“孤注一掷”的方法。通常情况下，食管残端会在没有负面影响的情况下瘢痕愈合。食管黏液囊肿是双极食管切除术的一种罕见并发症。本文报告了 1 例医源性食管横断伤及其后续的治疗过程。对患者的医疗和手术史进行了回顾性图表审查。在一家外院行机器人食管裂孔疝修补术后，该患者发生食管漏，并接受了手术治疗，包括食管切除术、纵隔广泛引流和由此导致的脓胸清创术。4 个月后，她接受了胸骨后胃管进行食管重建。3 年后，她出现了食管切除术的罕见并发症，即症状性食管黏液囊肿，需要进行切除。
