ArticleWorld journal of surgery2015
Tracheobronchial fistula during the perioperative period of esophagectomy for esophageal cancer.
Article in World journal of surgery, 2015. 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, 36 citations in OpenAlex.
- Conservative Management of a Rare Gastrobronchial Fistula Following Minimally Invasive Esophagectomy: A Case Report.Cureus · 2025Article
- Unusual Surgical Repair of Bronchoesophageal Fistula Following Esophagectomy.Diagnostics (Basel, Switzerland) · 2024Article
- Descending necrotizing mediastinitis with esophageal perforation and tracheal ulcer: a case report and literature review.General thoracic and cardiovascular surgery cases · 2024Article
- Intraoperative minimally invasive left bronchial reconstruction using a pericardial flap during robot-assisted esophagectomy.JTCVS techniques · 2023Article
- Duodenal diversion surgery in management of intractable tracheobroncho-gastric fistula after esophagectomy.General thoracic and cardiovascular surgery cases · 2023Article
- Anesthesia management for tracheoesophageal fistula closed with a new gastrointestinal occluder device: a case report.Journal of cardiothoracic surgery · 2022Article
- Adequate Management of Postoperative Complications after Esophagectomy: A Cornerstone for a Positive Outcome.Cancers · 2022Review
- Article
- Dislocation of the gastric conduit reconstructed via the posterior mediastinal route is a significant risk factor for anastomotic disorder after McKeown esophagectomy.Annals of gastroenterological surgery · 2022Article
- Three-step operation for esophago-left bronchial fistula with respiratory failure after esophagectomy: a case report with literature review.BMC gastroenterology · 2021Review
- [Esophagotracheal and esophagobronchial fistulas].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Management of tracheobronchial injuries.Journal of thoracic disease · 2020Review
- 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
- Refractory cutaneo-gastric conduit fistula after esophagectomy repaired by a pectoralis major muscle flap and split-thickness skin graft.Surgical case reports · 2019Article
- Successful repair using thymus pedicle flap for tracheoesophageal fistula: a case report.Surgical case reports · 2018Article
- Individualized airway-covered stent implantation therapy for thoracogastric airway fistula after esophagectomy.Surgical endoscopy · 2017Article
- Development of fistula between esophagogastric anastomotic site and cartilage portion of trachea after subtotal esophagectomy for cervical esophageal cancer: a case report.Surgical case reports · 2016Article
- Management of Tracheo- or Bronchoesophageal Fistula After Ivor-Lewis Esophagectomy.World journal of surgery · 2016Article
- Gastrobronchial fistula following minimally invasive esophagectomy for esophageal cancer in a patient with myotonic dystrophy: Case report.International journal of surgery case reports · 2015Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTracheobronchial (TB) injury and fistula formation during the perioperative period of esophagectomy is a rare but life-threatening complication.
methodsWe examined the development of intraoperative TB injury and postoperative TB fistulas in consecutive 763 patients with esophageal cancer who underwent esophagectomy, including 494 patients who underwent transthoracic subtotal esophagectomy.
resultsTB injury and fistulas developed in two (0.4 %) and four patients (0.8 %), respectively, who received transthoracic esophagectomy. TB injury developed during the dissection of a tumor invading a major airway. Direct suturing of the laceration and covering it using a muscle flap was effective for one patient, while additional repair with a major pectoral muscle flap was needed in another patient. Postoperative TB fistulas developed due to peri-tracheal infection in two patients, and conservative treatment with drainage was performed. In another two patients, gastro-tracheal fistulas developed due to mechanical compression of staplers on the gastric tube, which was elevated via the posterior mediastinal route. The direct repair of the gastric tube and covering it with a major pectoral muscle flap resulted in the resolution of these fistulas.
conclusionCareful dissection with direct vision of the esophagus, as well as oversewing of the staplers on the gastric tube, is mandatory for preventing TB injury and fistula formation. Appropriate drainage is effective in cases with peri-tracheal abscesses. If the TB fistula fails to heal within a 4- to 6-week period, conservative management should be abandoned. Direct surgical intervention with coverage by a muscle flap is important for TB fistulas.
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