[Tracheal rupture during a transhiatal esophagectomy without thoracotomy. Intra- and postoperative treatment].
We report the case of a male patient with a carcinoma of the upper third of the esophagus who presented a tracheal rupture during a transhiatal esophagectomy. The clinical picture was characterized by a severe alteration of the ventilatory function that required selective intubation and, later on, a right thoracotomy for repairing the tracheal lesion. After surgery the patient was treated at the Recovery Unit. He received high-frequency mechanic ventilation (jet ventilation type) during nine days in a attempt to decrease the risk for dehiscence of the tracheal suture and to ensure an adequate oxygenation and hemodynamic control. The clinical course was favourable.
Cid
M
M
Hospital General de Galicia-Gil Casares, Clínico Universitario, Santiago de Compostela, La Coruña.
Freire
J
J
Vázquez
L
L
Fagundo
S
S
Pombo
M
M
Ginesta
V
V
Alvarez
J
J
D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy; D004944:Esophagoplasty; D006611:High-Frequency Jet Ventilation; D006801:Humans; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000628:therapy; D007442:Intubation, Intratracheal; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D012421:Rupture; D014132:Trachea / Q000293:injuries*
Rotura traqueal en el curso de una esofagectomía transhiatal sin toracotomía. Tratamiento intra y postoperatorio.