title: Laparoscopic retrosternal gastric pull-up for fistulized mediastinal mass.
abstract: We describe the case of a patient successfully reconstructed with laparoscopic retrosternal gastric pull-up after esophagectomy for unresectable posterior mediastinal inflammatory myofibroblastic tumor, eroding into the esophagus and compressing the airways. A partial esophagectomy with esophagostomy was performed for treatment of esophageal pleural fistula and empyema, while the airways were managed with the placement of an endobronchial stent. Gastrointestinal reconstruction was performed using a laparoscopic approach to create a retrosternal tunnel for gastric conduit pull-up and cervical anastomosis. The patient was discharged uneventfully after 6 d, and has done very well at home with normal diet.
authors.affiliation: Benedetto Mungo, Division of Thoracic Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21218, United States.
authors.forename: Benedetto
authors.initials: B
authors.lastname: Mungo
authors.affiliation: Benedetto Mungo, Division of Thoracic Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21218, United States.
authors.forename: Arianna
authors.initials: A
authors.lastname: Barbetta
authors.affiliation: Benedetto Mungo, Division of Thoracic Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21218, United States.
authors.forename: Anne O
authors.initials: AO
authors.lastname: Lidor
authors.affiliation: Benedetto Mungo, Division of Thoracic Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21218, United States.
authors.forename: Miloslawa
authors.initials: M
authors.lastname: Stem
authors.affiliation: Benedetto Mungo, Division of Thoracic Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21218, United States.
authors.forename: Daniela
authors.initials: D
authors.lastname: Molena
keywords: Esophageal fistula; Esophageal surgery; Gastric conduit; Laparoscopic retrosternal bypass; Minimally invasive surgery