Repair of reconstructed gastric tube bronchial fistulas after operation for esophageal cancer by transposing a pedicled pectoralis major muscle flap: Report of three successful cases

Saito, Hajime; Minamiya, Yoshihiro; Hashimoto, Masaji; Izumi, Keiichi; Suzuki, Hiroyuki; Shikama, Toshio; Mike, Makio; Tennma, Kazuo; Kamata, Shuuichi; Saito, Reijiro; Kitamura, Michihiko

doi:10.1016/s0039-6060(98)70194-1

Cited by 12 publications

(3 citation statements)

References 6 publications

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“…However, they sometimes have iatrogenic causes such as metal stents used for esophageal stenosis [4], tracheogastric fi stula from the ischemic effect of the endotracheal tube or nasogastric tube [5], and tracheogastric fi stula after operation for esophageal cancer [6][7][8][9]. Esophageal cancer frequently invades the trachea.…”

Section: Discussionmentioning

confidence: 99%

“…Repair methods used in other reported cases include only direct repair suturing of the injury site and/or the covering of the gastric tube [2] with a pedicle muscle fl ap from muscles such as latissimus dorsi muscle [3], intercostals muscle [7], or pectoralis major muscle [5,6,8,12,14]. Covering the gastric tube might be suitable for airways injured during reconstruction through a postmediastinum route following esophagectomy.…”

Section: Discussionmentioning

confidence: 99%

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Successful treatment of tracheomediastinal fistula after tracheal injury obtained during esophagectomy using the pectoralis major muscle: a case report

et al. 2008

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When tracheal injury occurs during esophagectomy, it is a very serious and frequently fatal complication. We experienced a case of intractable tracheomediastinal fi stula caused by tracheal injury during esophagectomy that was successfully repaired using a pedicle fl ap of the left pectoralis major muscle. A 55-year-old Japanese man who had congenital right aortic arch was referred to our hospital with a complaint of dysphagia. He had a type 2 carcinoma from the distal part of the cervical esophagus to the upper thoracic esophagus, 4.5 cm in length and attached to the membranous wall of the trachea. Subtotal esophagectomy was performed with left thoracotomy. The tumor adhered tightly to the membranous portion of the trachea, and the trachea was injured during removal of the tumor. The laceration was directly sutured and covered with a latissimus dorsi muscle fl ap. However, a tracheomediastinal fi stula became enlarged and the left subclavian artery became exposed. Repair of the fi stula was performed 31 days after the fi rst operation: a permanent tracheotomy was made, laryngectomy was performed, and the fi stula was fi lled with a pedicle fl ap of the pectoralis major muscle. The postoperative course was uneventful and the patient's general condition improved. The use of a pectoralis major muscle fl ap was effective for repairing the tracheomediastinal fi stula.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Successful treatment of tracheomediastinal fistula after tracheal injury obtained during esophagectomy using the pectoralis major muscle: a case report

et al. 2008

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“…We then closed the defect of the trachea with a pedicled musculocutaneous fl ap using the right major pectoral muscle, which was prepared as described previously. 6 About 2 cm of corium around the skin island was preserved by abrasing the epithelium to obtain blood supply. The pedicled major pectoral muscle was subcutaneously translocated to the anterior mediastinum and the skin island was attached to the defect of tracheal wall with knotted nonabsorbable monofi lament (4-0 Proline) sutures.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Salvage Lymphadenectomy of the Right Recurrent Nerve Node with Tracheal Involvement After Definitive Chemoradiation Therapy for Esophageal Squamous Cell Carcinoma: Report of Two Cases

et al. 2007

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Thoracic esophageal cancers frequently metastasize to the right recurrent nerve nodes (RRNNs). In fact, huge RRNNs invading the trachea sometimes remain after definitive chemoradiation therapy (CRT), despite complete remission of the primary lesion. We performed salvage lymphadenectomy of a large RRNN combined with partial resection of the trachea in two patients. Using an anterior approach, we removed part of the sternum, clavicle, and the first and second costal cartilage; then, we removed the RRNNs with combined resection of the lateral quarter circumference of the trachea, the esophageal wall, and the recurrent nerve. Reconstruction was done with a musculocutaneous patch of major pectoral muscle to cover the tracheal defect. The only minor complication was venous thrombosis in one patient. Thus, combined removal of the RRNN and trachea was performed safely as a salvage operation after definitive CRT for esophageal squamous cell carcinoma.

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Treatment strategy for benign gastric tube-tracheobronchial fistula after esophagectomy for esophageal cancer: 9 case reports and review of the literature

et al. 2013

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Repair of reconstructed gastric tube bronchial fistulas after operation for esophageal cancer by transposing a pedicled pectoralis major muscle flap: Report of three successful cases

Cited by 12 publications

References 6 publications

Successful treatment of tracheomediastinal fistula after tracheal injury obtained during esophagectomy using the pectoralis major muscle: a case report

Successful treatment of tracheomediastinal fistula after tracheal injury obtained during esophagectomy using the pectoralis major muscle: a case report

Salvage Lymphadenectomy of the Right Recurrent Nerve Node with Tracheal Involvement After Definitive Chemoradiation Therapy for Esophageal Squamous Cell Carcinoma: Report of Two Cases

Treatment strategy for benign gastric tube-tracheobronchial fistula after esophagectomy for esophageal cancer: 9 case reports and review of the literature

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