[A case of video-assisted thoracic surgery for congenital esophago-bronchial fistula].
A 42-year-old male was admitted to our hospital because barium esophagograpm showed an esophago-bronchial fistula with an esophageal deverticulum. He has had frequent episodes of cough at drinking water since childhood. A chest CT scan showed mild inflammatory change and bronchiectasis in the right S6. Division of the fistula by video-assisted thoracoscopic surgery (VATS) was performed. There was no evidence of inflammation and adherent lymph nodes around the fistula. This case was diagnosed as a congenital esophago-bronchial fistula by operative findings and clinical course. The fistula was dissected easily and divided by an auto-suturing instrument. The affected lung could be preserved. The patient was discharged on the 10th postoperative day. VATS is an effective treatment for the patients of congenital esophago-bronchial fistula (Braimbrige type I and II), if they are not accompanied with pulmonary abscess or pleural empyema.
Fukuhara
T
T
Department of Thoracic Surgery, National Sanyo Hospital, Yamaguchi, Japan.
Higashi
R
R
Mushiake
H
H
Shigematsu
H
H
Akiyama
I
I
D000328:Adult; D001983:Bronchial Fistula / Q000151:congenital / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D004937:Esophageal Fistula / Q000151:congenital / Q000601:surgery*; D006801:Humans; D008297:Male; D013906:Thoracoscopy; D014741:Video Recording