New improved incision-tubing approach for bronchoesophageal Fistula with mediastinal abscess after esophagectomy: A case report

被引：0
作者：
Cao, Jianwei [1 ]
Geng, Mingfei [2 ]
Huang, Xiaoyu [2 ]
Liu, Changjiang [3 ]
Li, Hui [1 ]
机构：
[1] Capital Med Univ, Beijing Chaoyang Hosp, Dept Thorac Surg, Beijing, Peoples R China
[2] Henan Univ Sci & Technol, Anyang Tumor Hosp, Dept Thorac Surg, Affiliated Hosp 4, Anyang, Peoples R China
[3] Hebei Med Univ, Dept Thorac Surg, Hosp 4, Shijiazhuang, Peoples R China
来源：
FRONTIERS IN SURGERY | 2023年 / 10卷
关键词：
esophagectomy; bronchoesophageal fistula; minimally invasive management; esophageal cancer; gastric conduit; DESCENDING NECROTIZING MEDIASTINITIS; TRACHEOBRONCHIAL FISTULA; MANAGEMENT;
D O I：
10.3389/fsurg.2023.1100264
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Bronchoesophageal fistula is a serious threat to the survival after esophagectomy for esophageal cancer. The erosion of mediastinal abscess post anastomotic leakage is the most likely directly cause. However, the bronchoesophageal fistula with gastric conduit necrosis and mediastinal abscess is refractory to either surgical or conservative treatment. In the article, a unique case of Bronchoesophageal fistula with mediastinal abscess after gastric conduit necrosis is presented. A 74-year-old female was detected the right inferior bronchus-esophageal fistula with mediastinal abscess on 15 postoperative day after esophagectomy for esophageal cancer. A successful new improved minimally invasive management was performed.
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