eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2022
vol. 19
 
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abstract:
Letter to the Editor

Combined surgery and endoluminal vacuum therapy for bronchial fistula and esophageal leakage after surgery for synchronous lung and esophageal cancer

Piotr Gabryel
1
,
Magdalena Sielewicz
1
,
Szymon Smoliński
1
,
Tomasz Dobiecki
1
,
Cezary Piwkowski
1

  1. Department of Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland
Kardiochirugia i Torakochirugia Polska 2022; 19 (1): 56-58
DOI: https://doi.org/10.5114/kitp.2022.114561
Online publish date: 2022/03/24
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Simultaneous esophageal resection and pulmonary lobectomy for synchronous esophageal cancer and lung cancer is associated with an increased risk of postoperative complications, including esophageal leakage and broncho-pleural fistula [1]. Endoluminal vacuum therapy (EVT) has been reported to be effective in the treatment of anastomotic leak after esophageal resection [2]. However, in the event of a bronchial fistula, EVT may cause significant air leakage through the fistulas, which may eventually lead to respiratory complications and impede negative pressure treatment. Here we present a patient with bronchopleural and esophagopleural fistula successfully treated with surgery and EVT.
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