Laparoscopic retrosternal gastric pull-up for fistulized mediastinal mass

被引:1
作者
Mungo, Benedetto [1 ]
Barbetta, Arianna [2 ]
Lidor, Anne O. [3 ]
Stem, Miloslawa [3 ]
Molena, Daniela [2 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Surg, Div Thorac Surg, Baltimore, MD 21218 USA
[2] Mem Sloan Kettering Canc Ctr, Dept Surg, Thorac Surg Serv, New York, NY 10065 USA
[3] Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21218 USA
关键词
Esophageal surgery; Minimally invasive surgery; Esophageal fistula; Laparoscopic retrosternal bypass; Gastric conduit; COLONIC INTERPOSITION; ESOPHAGEAL-CARCINOMA; BYPASS OPERATION; CANCER; STRICTURE;
D O I
10.4240/wjgs.v9.i3.92
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We describe the case of a patient successfully reconstructed with laparoscopic retrosternal gastric pull-up after esophagectomy for unresectable posterior mediastinal inflammatory myofibroblastic tumor, eroding into the esophagus and compressing the airways. A partial esophagectomy with esophagostomy was performed for treatment of esophageal pleural fistula and empyema, while the airways were managed with the placement of an endobronchial stent. Gastrointestinal reconstruction was performed using a laparoscopic approach to create a retrosternal tunnel for gastric conduit pull-up and cervical anastomosis. The patient was discharged uneventfully after 6 d, and has done very well at home with normal diet.
引用
收藏
页码:92 / 96
页数:5
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