ArticleWorld journal of surgery2009
Tracheobronchial lesions following esophagectomy: erosions, ulcers, and fistulae, and the predictive value of lymph node-related factors.
Article in World journal of surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 48 citations in OpenAlex.
- A review of management of benign post-esophagectomy respiratory-digestive fistula in esophageal cancer in China.Esophagus : official journal of the Japan Esophageal Society · 2026Review
- Robotic esophagectomy with function-preserving radical mediastinal lymphadenectomy for esophageal cancer.Annals of gastroenterological surgery · 2025Review
- Unusual Surgical Repair of Bronchoesophageal Fistula Following Esophagectomy.Diagnostics (Basel, Switzerland) · 2024Article
- Management of neo-esophagus-airway fistula after esophagectomy for oesophageal cancer: systematic literature review and meta-analysis.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Clinical Outcomes of Preserving Bronchial Arteries During Radical Esophagectomy: A Propensity-Score Matched Analysis.Annals of surgical oncology · 2024Article
- Surgical cervicothoracic-flap repair of neoesophagus-airway fistula after esophagectomy for esophageal cancer: A retrospective cohort study.JTCVS techniques · 2024Article
- ASO Author Reflections: Is Preservation of Bronchial Arteries During Esophageal Cancer Surgery Oncologically Acceptable and Does it Improve the Incidence of Postoperative Pneumonia?Annals of surgical oncology · 2024Article
- Treatment of Esophago-Airway Fistula after Esophageal Resection.Healthcare (Basel, Switzerland) · 2023Article
- Primary tracheobronchial necrosis after esophagectomy: A nationwide multicenter retrospective study in Japan.Annals of gastroenterological surgery · 2023Article
- The clinical characteristics, treatments and prognosis of post-esophagectomy airway fistula: a multicenter cohort study.Translational lung cancer research · 2022Article
- Article
- Preoperative 3D-CT evaluation of the bronchial arteries in transmediastinal radical esophagectomy for esophageal cancer.Esophagus : official journal of the Japan Esophageal Society · 2022Article
- Successful reconstruction of an intrathoracic tracheal defect using a muscle flap and conchal cartilage graft.Esophagus : official journal of the Japan Esophageal Society · 2021Article
- Repair of gastro-tracheobronchial fistula after esophagectomy for esophageal cancer using intercostal muscle and latissimus dorsi muscle flaps: a case report.Surgical case reports · 2020Article
- The classification and treatment strategies of post-esophagectomy airway-gastric fistula.Journal of thoracic disease · 2020Article
- Spatial relationships of the bronchial arteries to the left recurrent laryngeal nerve in the sub-aortic arch area.Surgery today · 2018Article
- A new anatomical classification of the bronchial arteries based on the spatial relationships to the esophagus and the tracheobronchus.Surgery today · 2017Article
- TEAM: Together Everyone Achieves More.The Journal of thoracic and cardiovascular surgery · 2016Article
- Tracheobronchial fistula during the perioperative period of esophagectomy for esophageal cancer.World journal of surgery · 2015Article
- Managing complications II: conduit failure and conduit airway fistulas.Journal of thoracic disease · 2014Review
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFollowing esophagectomy, tracheobronchial lesions (TBLs) can occur as a result of ischemia caused by extensive dissection around the tracheobronchus. In this study we assessed the causes and clinical features of these complications, paying particular attention to lymph node (LN)-related factors.
methodsBetween January 2000 and March 2007, 305 consecutive patients underwent subtotal esophagectomy using a transthoracic approach with LN dissection for thoracic esophageal cancer. TBLs, including erosions, ulcers, and fistulae, without traumatic injury during the operation, were detected during bronchoscopic examinations performed twice daily after the operation. The correlation between TBLs and tumor or surgical factors were analyzed.
resultsTBLs were observed in 14 patients, accounting for an overall incidence of 5%; these included 6 fistulae, 5 ulcers, and 3 erosions. Cases with TBLs significantly more often involved three-field LN dissections (3FLD) than those without TBLs. Six (43%) patients with TBLs had more than four metastatic lymph nodes, while 9 (64%) had cervical and upper-mediastinal LN metastasis (p=0.034 and 0.041, respectively). More than 60 LNs were dissected from 10 (71%) patients with TBLs (p=0.021), and logistic regression analysis revealed that dissection of more than 60 lymph nodes and 3FLD were independent predictors of TBLs.
conclusionsEsophageal cancer patients requiring extensive LN dissection of more than 60 nodes and/or 3FLD have an increased risk of developing a TBL during their postoperative course.
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