[A case report of treatment for tracheal fistula after radical esophagectomy].
We report our experience of the treatment of a 60-year-old man with upper tracheal fistula which developed on the 11th day after radical surgery for esophageal cancer. Primary treatment to close the fistula was unsuccessful, resulting in the involvement of empyema due to infection. Controlled ventilation with T-tube and drainage through a chest tube for 2 months lead to depuration of the thoracic cavity. As a strategy for secondary closure of the fistula, fenestration was performed on the 87th day postoperatively. The patient's overall condition improved thereafter and closure was being considered. However, the patient died on the 116th day postoperatively due to supervenient aspiration pneumonia. Thus, long-term controlled ventilation with a T-tube was beneficial for the treatment of central airway injury.
Second Department of Surgery, Nihon University School of Medicine, Tokyo, Japan.
M
M
Koga
K
K
Akiyama
T
T
Inoue
M
M
Hasegawa
M
M
Funahashi
K
K
Ohmori
N
N
Negishi
Y
Y
Sezai
D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D012121:Respiration, Artificial; D016156:Respiratory Tract Fistula / Q000209:etiology / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000379:methods; D014133:Tracheal Diseases / Q000209:etiology / Q000601:surgery*; D017211:Treatment Failure