Esophagectomy and combined lobectomy with a covering latissimus dorsi muscle flap for an esophagopulmonary fistula due to advanced esophageal cancer: report of two cases
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Abstract
We herein describe the successful surgical treatment of two cases of esophagopulmonary fistula (EPF) due to esophageal cancer. Case 1: A 76-year-old man was diagnosed by computed tomography (CT) with an EPF due to esophageal cancer. Initially, antibiotics were given and enteral nutrition was administered. After 12 days, an esophageal stent was implanted. After 20 days, esophagectomy combined with a right middle–lower lobectomy with a covering latissimus dorsi muscle flap (LDMF) was performed. Case 2: A 54-year-old man was given induction chemoradiotherapy (CRT) for advanced esophageal cancer. Forty days after CRT, the patient developed a fever and was diagnosed with an EPF due to esophageal cancer based on CT findings. An emergency esophagectomy combined with a right lower lobectomy with covering by a LDMF was performed. The LDMF was useful to prevent postoperative complications, such as bleeding due to vessel rupture or bronchial stump fistula.
Keywords
Esophagopulmonary fistula Squamous cell carcinoma Esophageal cancer Expandable metallic stent Latissimus dorsi muscle flapAbbreviations
- CT
Computed tomography
- EPF
Esophagopulmonary fistula
Notes
Ethical Statement
The study was approved by the appropriate ethics committee and performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and all subsequent revisions.
Conflict of interest
None.
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