Evaluation and outcome of different surgical techniques for postintubation tracheoesophageal fistulas Paolo Macchiarini, MD, PhD, Jean-Philippe Verhoye,

Slides:

Advertisements

Similar presentations

Surgical Repair of Iatrogenic Cervical Tracheal Stenosis

Advertisements

Technique for Managing Tracheo-Innominate Artery Fistula

Esophageal Diversion Daniel P. Raymond, MD, Thomas J. Watson, MD

Composite cervical skin and cartilage flap provides a novel large airway substitute after long-segment tracheal resection Dominique Fabre, MD, Sunil.

En bloc resection of non-small cell lung cancer invading the thoracic inlet and intervertebral foramina Elie Fadel, MD, Gilles Missenard, MD, Alain Chapelier,

Subglottic Tracheal Resection

Partial cricoidectomy with primary thyrotracheal anastomosis for postintubation subglottic stenosis Paolo Macchiarini, MD, PhDa, Jean-Philippe Verhoye,

Surgical technique and results of tracheal and carinal replacement with aortic allografts for salivary gland–type carcinoma Alain Wurtz, MD, Henri Porte,

Platysma Myocutaneous Flap for Patch Stricturoplasty in Relieving Short and Benign Cervical Esophageal Stricture Yi-Dan Lin, MD, Yao-Guang Jiang, MD,

Homograft replacement of the mitral valve

Operative technique for tracheo-innominate artery fistula repair

Repair of congenital tracheal stenosis with a free tracheal autograft

Repair of pectus deformities with sternal support

Hani K. Najm, MD, Christopher A

R.J. Parker, I.J. Rechner, T.J. Parke British Journal of Anaesthesia

Tracheal Resection and Reconstruction: How I Teach It

Closure with bronchial wall flap and omental pedicle of defect caused by dehiscence of tracheal suture line after extended right upper sleeve lobectomy

Tracheal growth after slide tracheoplasty

Obliteration of empyema tract with deepithelialized unipedicle transverse rectus abdominis myocutaneous flap Joseph M. Serletti, MD, Richard H. Feins,

Slide Tracheoplasty for Congenital Tracheal Stenosis

Subglottic Tracheal Resection

Pulmonary artery–bronchial fistula during lymphoma treatment

Implantation technique for the Novacor left ventricular assist system

Use of omentum for mediastinal tracheostomy after total laryngoesophagectomy Yoshiyuki Kuwabara, MD, Atsushi Sato, MD, Masami Mitani, MD, Noriyuki Shinoda,

Video-Assisted Thoracic Surgery Resection and Reconstruction of Carina and Trachea for Malignant or Benign Disease in 12 Patients: Three Centers’ Experience.

Surgical Repair of Long-Segment Cervical Esophageal Injury With a Sternocleidomastoid Myocutaneous Flap Juan A. Sanchez, MD, Lucian Panait, MD The Annals.

Reconstruction After Pancoast Tumor Resection

Skinning the cat: Another wrinkle for T-tube insertion

Transmanubrial approach to the thoracic inlet

A simplified technique for closing thoracostomy incisions

A Novel Technique for Laryngotracheal Reconstruction for Idiopathic Subglottic Stenosis Anna M. Ciccone, MD, Camilla Vanni, MD, Giulio Maurizi, MD, Antonio.

Management of corrosive esophageal burns in 149 cases

One-stage approach for retroperitoneal and mediastinal metastatic testicular tumor resection Elie Fadel, MD, Bernard Court, MD, Alain R Chapelier, MD,

Single-Staged Laryngotracheal Reconstruction for Idiopathic Tracheal Stenosis Alfonso Morcillo, PhD, Richard Wins, MD, Abel Gómez-Caro, PhD, Marina Paradela,

One-stage repair of interrupted aortic arch, ventricular septal defect, and subaortic obstruction in the neonate: A novel approach Giovanni Battista.

Reverse flap of distal latissimus dorsi for diaphragm reconstruction in the adult: Specification of the technical procedure and report on six cases Amedeo.

Reconstruction After Pancoast Tumor Resection

Repair of a recurrent benign Tracheoesophageal fistula with a Gore-Tex membrane Romeo Bardini, MD, Valentina Radicchi, MD, Paolo Parimbelli, MD, Sara.

Apical axillary thoracotomy

Pedicled posterior pericardial repair of tracheoesophageal fistula after chemoradiotherapy for esophageal cancer Takushi Yasuda, MD, Tomoki Makino, MD,

Novel repair of a defect in the cervical trachea with a thymus pedicle flap Kimihiro Shimizu, MD, PhD, Toshiteru Nagashima, MD, Yoichi Ohtaki, MD, PhD,

An experimental model for the prevention of postanastomotic tracheal stenosis Jerónimo Gonzálvez-Piñera, MD, Alberto Pérez-Martínez, MD, Alfredo Marco-Macián,

Congenital Tracheal Stenosis: Tracheal Autograft Technique

Postintubation tracheal stenosis

A modified technique of laryngotracheal reconstruction without the need for prolonged postoperative stenting Konrad Hoetzenecker, MD, PhD, Thomas Schweiger,

Primary repair of rupture of a main and lobar bronchus

Anterior surgical approaches to the thoracic outlet

Support Your Specialty

Idiopathic laryngotracheal stenosis: Effective definitive treatment with laryngotracheal resection Simon K Ashiku, MD, Akin Kuzucu, MD, Hermes C Grillo,

Intermediate-Term Outcome Of Mitral Reconstruction In Cardiomyopathy

Repair of long-segment tracheal stenosis in infancy

Long-Segment Tracheal Stenosis Treated with Vascularized Mucosa and Short-Term Stenting Steven Stamenkovic, MD, Robert Hierner, MD, PhD, Paul De Leyn,

Subclavian artery resection and reconstruction for thoracic inlet cancers Elie Fadel, MD, Alain Chapelier, MD, PhD, Emile Bacha, MD, Francois Leroy-Ladurie,

Simplified anastomotic technique for end-to-side bronchial reimplantation onto the trachea or contralateral main bronchus after complex tracheobronchial.

Sternal dehiscence The Journal of Thoracic and Cardiovascular Surgery

Patient recovery after intermittent disc escape and spontaneous recession of a mechanical heart valve Francis Robicsek, MD, PhD, Joseph W. Cook, MD

The Utility Of The Pectoralis Myocutaneous Flap In The Management Of Select Cervical Esophageal Anastomotic Complications Richard F. Heitmiller, MD,

Management of esophageal anastomotic leaks, perforations, and fistulae with self- expanding plastic stents Yiyang Dai, MD, Sascha S. Chopra, MD, Sören.

Tracheoesophageal fistula due to migration of a self-expanding esophageal stent successfully treated with a silicone “Y” tracheobronchial stent Jose.

Technical Innovations of Carinal Resection for Nonsmall-Cell Lung Cancer Paolo Macchiarini, MD, PhD, Matthias Altmayer, MD, Tetsuhiko Go, MD, Thorsten.

Pediatric tracheal homograft reconstruction: A novel approach to complex tracheal stenoses in children Jeffrey P. Jacobs, MDa*, Martin J. Elliott, MD,

H. Yokomise, MDa, K. Inui, MDa, H. Wada, MDa, M. Ueda, MDa, S

Tracheal reimplantation of the right upper lobe bronchus with sleeve main and intermedius bronchus resection and reconstruction Carsten Schröder, MD,

Benoit J. Bibas, MD, Roberto A. Bibas, MD

External tracheal stenting for pediatric airway obstruction: A word of caution Roosevelt Bryant, MD The Journal of Thoracic and Cardiovascular Surgery

Tracheoplasty in a large tracheoesophageal fistula

Hiroaki Osada, MD, Koji Kojima, MD The Annals of Thoracic Surgery

How do we follow up our patients

Invited Commentary The Annals of Thoracic Surgery

One-lung ventilation during surgical procedures on the main bronchus and carina A. Fontana, MD, S. Nazari, MD The Journal of Thoracic and Cardiovascular.

Presentation transcript:

Evaluation and outcome of different surgical techniques for postintubation tracheoesophageal fistulas Paolo Macchiarini, MD, PhD, Jean-Philippe Verhoye, MD, Alain Chapelier, MD, PhD, Elie Fadel, MD, Philippe Dartevelle, MD The Journal of Thoracic and Cardiovascular Surgery Volume 119, Issue 2, Pages 268-276 (February 2000) DOI: 10.1016/S0022-5223(00)70182-6 Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 1 A, U-shaped cervical incision. Inferiorly, the incision can be prolonged vertically just below the manubrial notch to include an upper median sternotomy. B, The tracheal stoma can be simply resected while performing the collar incision if it does not directly communicate with the fistula or associate with a tracheal stenosis or injury such that tracheal reconstruction would not be possible. In these last situations the stoma should be left in place and closed later with a myoplasty. If the patient needs postoperative ventilatory support, the tracheal stoma might be left in place. After removal of the endotracheal tube, it usually closes spontaneously. In some cases it fails to close when prolonged intubation has allowed epithelialization between the skin and the tracheal mucosa. In this case, a simple one-stage closure with an inverted skin or myocutaneous flap may produce an epithelialized tracheal wall. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 268-276DOI: (10.1016/S0022-5223(00)70182-6) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 2 In patients whose trachea is stenotic at the site of the fistula, the trachea is divided below and above the damaged area (including eventually the stoma) and ventilation is obtained by inserting a cross-field endotracheal tube into the distal tracheal airway. The opening of the airway gives complete exposure to the esophageal defect. Mucosal (A) and muscular (B) esophageal wall closure with interrupted sutures is then fashioned over a nasogastric tube. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 268-276DOI: (10.1016/S0022-5223(00)70182-6) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 3 In patients whose trachea is normal, transection of the trachea at the midline level of the fistula (A) gives an anterior view of the entire defect (B). After esophageal closure, the anterior and posterior tracheal defects are closed with continuous and interrupted sutures as described in the text. Note (C) that the esophageal and tracheal anastomotic lines are not at all in contact with each other because of the reduced tracheal but unchanged esophageal length. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 268-276DOI: (10.1016/S0022-5223(00)70182-6) Copyright © 2000 Mosby, Inc. Terms and Conditions