Document Detail


A novel surgical technique of repair of posterior wall laceration of thoracic trachea during transhiatal esophagectomy.
MedLine Citation:
PMID:  19454411     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tracheal injury is a rare, dreaded and potentially fatal complication of transhiatal esophagectomy (THE). The close proximity of major airway to esophagus makes it vulnerable to iatrogenic laceration during mediastinal manipulations. Over a period of five years, three patients with injury to membranous trachea during THE, were managed through the cervical incision. There was laceration of membranous trachea ranging from 3.5 to 5 cm in length with minimal loss of tracheal tissue. One of the lacerations was extending up to the right bronchus. All the patients were successfully managed through the cervical incision. The operative repair of trachea lasted for 45-60 min. One patient developed permanent left recurrent laryngeal nerve injury and another had postoperative bronchopneumonia. There was no mortality. Trans-cervical approach is an effective way of repairing thoracic membranous tracheal laceration during THE without any significant increase in the morbidity.
Authors:
Vikas Gupta; Shyam K S Thingnam; Sachin Kuthe; Ganga Ram Verma
Publication Detail:
Type:  Journal Article     Date:  2009-05-19
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  9     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-24     Completed Date:  2009-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  347-9     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India. vikaspgi@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Bronchopneumonia / etiology
Esophagectomy / adverse effects*
Humans
Iatrogenic Disease*
Lacerations / surgery*
Male
Middle Aged
Suture Techniques
Thoracic Surgical Procedures* / adverse effects
Trachea / injuries*,  surgery*
Treatment Outcome
Vocal Cord Paralysis / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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