[A successfully treated case of empyema with a large tracheal fistula after subtotal esophagotomy by mediastinoscopy].
We reported a successfully treated case of empyema with a large tracheal fistula after subtotal esophagotomy. This 59-year-old male was treated by drainage with mediastinoscopy and repeated wash-out under bronchoscopy, because we could not use the omentum and he was the poor-risk patient. The trancheal fistula was obliterated bronchoscopically, 4 months after the mediastinoscopy. We believe that this method (abscess drainage with mediastinoscope and wash-out repeatedly) is useful for those who has broncheal fistula after esophagectomy.
Department of Surgery, Osaka Kosei-Nenkin Hospital, Japan.
N
N
Hatanaka
K
K
Ohno
T
T
Shibukawa
Y
Y
Yamasaki
K
K
Kuwata
D001983:Bronchial Fistula / Q000150:complications* / Q000628:therapy; D004322:Drainage / Q000379:methods*; D016724:Empyema, Pleural / Q000628:therapy*; D004724:Endoscopy / Q000379:methods*; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy; D006801:Humans; D008297:Male; D008481:Mediastinoscopy; D008875:Middle Aged; D011183:Postoperative Complications; D007507:Therapeutic Irrigation / Q000379:methods