Tehran University of Medical Sciences

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Tracheopleural Fistula After Thoracoscopic Esophagectomy: Novel Therapeutic Approach With Pericardial and Intercostal Muscle Flaps Publisher



Rafieian S1 ; Gharabaghi MA2
Authors
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Authors Affiliations
  1. 1. Department of Thoracic Surgery, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Respiratory Medicine, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Surgical Case Reports Published:2018


Abstract

Tracheal rupture following thoracoscopic esophagectomy is a dangerous event requiring primary repair with flap reinforcement. If the injury is not diagnosed during the surgery, morbidity and mortality increase significantly. Meanwhile, primary repair in such cases is not feasible due to the inflammation and difficulty in approximating the defect. Here, we report a case of tracheal injury during thoracoscopic esophagectomy with primary repair failure. We successfully repaired the injury by covering the defect first by a pericardial flap, then reinforcing it with an intercostal muscle flap. To our knowledge, there are few reports of such novel surgical techniques. Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2018.