Complex tracheal lesion: correction with an intercostal muscle pedicle flap.
Esophageal reconstruction is one of the most complex types of gastrointestinal surgery, principally when it is performed using minimally invasive techniques. The procedure is associated with various complications, such as anastomotic dehiscence, chylothorax, esophageal necrosis and fistulae. We report the case of a patient diagnosed with epidermoid carcinoma in the distal third of the esophagus. The patient was submitted to esophagectomy by video-assisted thoracoscopy and laparoscopy. During the operation, the left main bronchus was injured, and this required immediate surgical correction. In the postoperative period, the patient presented with acute respiratory failure and profuse air leak through the thoracic drains and through the cervical surgical wound. The patient underwent a second surgical procedure, during which a large lesion was discovered in the membranous wall of the trachea. The lesion was corrected with an intercostal muscle pedicle flap.
Ferreira
Hylas Paiva da Costa
HP
Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil. hylasferreira@gmail.com
Araújo
Carlos Alberto Almeida de
CA
Cavalcante
Jeancarlo Fernandes
JF
Lima
Ronnie Peterson de Melo
RP
D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery; D006801:Humans; D007366:Intercostal Muscles / Q000637:transplantation*; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013524:Surgical Flaps; D014132:Trachea / Q000293:injuries* / Q000601:surgery