Tracheal repair with sternocleidomastoid flap in mediastinoscopic surgery for esophageal cancer.

Autor: Yoshida C; Department of General Thoracic Surgery, Kochi Health Sciences Center, Kochi, Japan., Chang SS; Department of General Thoracic Surgery, Kochi Health Sciences Center, Kochi, Japan., Okamoto T; Department of General Thoracic Surgery, Kochi Health Sciences Center, Kochi, Japan.
Jazyk: angličtina
Zdroj: Asian journal of endoscopic surgery [Asian J Endosc Surg] 2024 Jul; Vol. 17 (3), pp. e13356.
DOI: 10.1111/ases.13356
Abstrakt: Tracheal injury during mediastinoscopic esophagectomy is a life-threatening complication that is challenging to manage. However, no precise treatment has been defined. An 80-year-old male patient with upper esophageal cancer underwent a mediastinoscopic esophagectomy and gastric tube reconstruction through the posterior mediastinal route. When the esophagus was separated from the trachea using a bipolar vessel sealing system, the left side of the membranous trachea incurred a 3-cm defect 7 cm below the sternal notch. We successfully repaired the tracheal injury not by directly suturing the defect but by reinforcing it with a pedicle sternocleidomastoid flap. The gastric tube was placed over the tracheal repair for esophageal reconstruction via a posterior mediastinal route. As a result, the patient recovered well and was discharged. A sternocleidomastoid flap might be another surgical option for reinforcement flaps in tracheal injuries.
(© 2024 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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