title: A new surgical technique for spontaneous esophagopleural fistula after pneumonectomy: cervical esophagogastrostomy via presternal and subcutaneous route, using a thoracic esophageal mucosal stripping.
abstract: We report a new surgical technique for spontaneous esophagopleural fistula after pneumonectomy. A 67-year-old man underwent right pneumonectomy for tuberculosis-destroyed lung 30 years previously and a right Eloesser window for empyema without any evidence of fistula 4 years previously. He presented to our hospital for food material spillage out of the Eloesser window when he was eating. The esophagopleural fistula was observed from the upper thoracic esophagus to the right postpneumonectomy dead space. He underwent left cervical esophagogastrostomy via a presternal subcutaneous route, using thoracic esophageal mucosal stripping. He was discharged without complications on postoperative day 12.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Ujeongbu St. Mary's Hospital, Ujeongbu, Republic of Korea.
authors.forename: Jae Jun
authors.initials: JJ
authors.lastname: Kim
authors.forename: Jae Kil
authors.initials: JK
authors.lastname: Park
authors.forename: Seok Whan
authors.initials: SW
authors.lastname: Moon
authors.forename: Khun
authors.initials: K
authors.lastname: Park
mesh_terms: D000368:Aged; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004946:Esophagostomy; D005402:Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005774:Gastrostomy; D006801:Humans; D008297:Male; D009092:Mucous Membrane / Q000601:surgery; D010995:Pleural Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects*; D012086:Reoperation; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000601:surgery*