Abstract
A case is reported of a tracheal tear developing during laryngopharyngectomy and transhiatal oesophagectomy. Ventilation and oxygenation were managed by removing the tracheostomy tube and advancing a straight cuffed armoured tube via the tracheostomy into one main stem bronchus and applying CPAP to the other bronchus via a Foley catheter. Following gastrointestinal reconstruction, the membranous tracheal tear was repaired via a right lateral thoracotomy.
Résumé
Nous présentons un cas de rupture trachéale survenu lors d’une laryngopharyngectomie avec oesophagectomie par voie hiatale. Nous avons alors glissé un tube renforcé avec ballonnet par la trachéotomie jusque dans la bronche souche droite et un catheter de Foley branché sur un système de CPAP dans la bronche gauche, assurant ainsi ventilation et oxygénation. Après l’anastomose gastropharyngée, les chirurgiens firent une thoracotomie droite pour réparer la déchirure trachéale.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Steiger Z, Wilson RF. Comparison of the results of esophagectomy with and without thoracotomy. Surg Gynecol Obstet 1981; 153:653–6.
Plant M. Anaesthesia for pharyngolaryngectomy with extrathoracic oesophagectomy and gastric transposition. Anaesthesia 1982; 37: 1211–3.
Orringer ME, Orringer JS. Esophagectomy without thoracotomy: a dangerous operation? J Thorac Cardiovasc Surg 1983; 85: 72–80.
Yonezawa T, Tsuchiya S, Ogoshi S, Tamiya T. Resection of cancer of the thoracic esophagus without thoracotomy. J Thorac Cardiovasc Surg 1984; 88: 146–9.
Stewart JR, Sarr MG, Sharp KW, Efron G, Juanteguy J, Gadacz TR. Transhiatal (blunt) esophagectomy for malignant and benign esophageal disease: clinical experience and technique. Ann Thorac Surg 1985; 40: 343–8.
Kronl L, Joob AW, Levine PA, Cantrell RW. Blunt esophagectomy and gastric interposition for tumors of the cervical esophagus and hypopharynx. Am Surg 1986; 52: 140–1.
Shahian DM, Neptune WB, Ellis FH, Watkins E. Transthoracic versus extrathoracic esophagectomy: mortality, morbidity, and long term survival. Ann Thorac Surg 1986; 41: 237–46.
Baker JW, Schechter GL. Management of panesophageal cancer by blunt resection without thoracotomy and reconstruction with stomach. Ann Surg 1986; 203: 491–9.
Hankins JR, Miller JE, Attar S, McLaughlin JS. Transhiatal esophagectomy for carcinoma of the esophagus: experience with 26 patients. Ann Thorac Surg 1987; 44: 123–7.
Smith BAC, Hopkinson RB. Tracheal rupture during anaesthesia. Anaesthesia 1984; 39: 894–8.
Condon HA. Anaesthesia for pharyngo-laryngooesophagectomy with pharyngo-gastrostomy. Br J Anaesth 1971; 43: 1061–5.
Bains MS, Spiro RH. Pharyngolaryngectomy, total extrathoracic esophagectomy and gastric transposition. Surg Gynecol Obstet 1979; 149: 693–6.
Orringer MB. Transhiatal esophagectomy without thoracotomy for carcinoma of the esophagus. Adv Surg 1986; 19: 1–49.
Abou-Madi MN, Cuadrado L, Domb B, Barnes J, Trop D. Anaesthesia for tracheal resection: a new way to manage the airway. Can Anaesth Soc J 1979; 26: 26–8.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sung, H.M.H., Nelems, B. Tracheal tear during laryngopharyngectomy and transhiatal oesophagectomy: a case report. Can J Anaesth 36, 333–335 (1989). https://doi.org/10.1007/BF03010776
Issue Date:
DOI: https://doi.org/10.1007/BF03010776