Tracheal repair with sternocleidomastoid flap in mediastinoscopic surgery for esophageal cancer.
Asian J Endosc Surg
; 17(3): e13356, 2024 Jul.
Article
in En
| MEDLINE
| ID: mdl-38965733
ABSTRACT
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.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Surgical Flaps
/
Trachea
/
Esophageal Neoplasms
/
Esophagectomy
/
Mediastinoscopy
Limits:
Aged80
/
Humans
/
Male
Language:
En
Journal:
Asian J Endosc Surg
Year:
2024
Document type:
Article
Affiliation country:
Japan
Country of publication:
Japan