A peculiar appendix: A case report

Munasinghe, B. M.; Karunatileke, C.T.; Hewawasam, G.G.C.; Hewavitharane, C.G.; Kuruppu, Karl

doi:10.1016/j.ijscr.2022.107726

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…Tracheal injury is a serious and potentially fatal complication of esophagectomy, although it is relatively rare, with an incidence of 1%-10%. [1][2][3][4] Although various treatment strategies for tracheal injury during the perioperative period of esophagectomies have been described, [4][5][6] treatment is still challenging. Here, we report a case in which tracheal injury during mediastinoscopic esophagectomy for upper esophageal cancer was successfully repaired not by directly suturing the defect but by reinforcing it with a sternocleidomastoid flap.…”

Section: Introductionmentioning

confidence: 99%

Tracheal repair with sternocleidomastoid flap in mediastinoscopic surgery for esophageal cancer

Yoshida,

Chang,

Okamoto

2024

Asian J Endoscop Surgery

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Tracheal injury during mediastinoscopic esophagectomy is a life‐threatening complication that is challenging to manage. However, no precise treatment has been defined. An 80‐year‐old male patient with upper esophageal cancer underwent a mediastinoscopic esophagectomy and gastric tube reconstruction through the posterior mediastinal route. When the esophagus was separated from the trachea using a bipolar vessel sealing system, the left side of the membranous trachea incurred a 3‐cm defect 7 cm below the sternal notch. We successfully repaired the tracheal injury not by directly suturing the defect but by reinforcing it with a pedicle sternocleidomastoid flap. The gastric tube was placed over the tracheal repair for esophageal reconstruction via a posterior mediastinal route. As a result, the patient recovered well and was discharged. A sternocleidomastoid flap might be another surgical option for reinforcement flaps in tracheal injuries.

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