Conservative treatment with tracheal montgomery® T-tube in anastomotic leak due to total pharyngolaryngeal esophagectomy

Year 2017, Volume: 34 Issue: 3, 209 - 211, 10.07.2018

Yasemin Bilgin Büyükkarabacak

Abstract

Following total pharyngolaryngeal esophagectomy and gastric pull up, anastomotic leaks are the most important complications that increase the postoperative morbidity and mortality. In this study, we would like to present a patient who underwent Montgomery® (Boston Medical Products) tracheal T-tube placement due to anastomotic leak after gastric pull-up and laryngectomy performed for a cervical esophageal tumor.

Keywords

Esophagectomy, Anastomotic leak, T-tube

References

• Chu, PY., Chang, SY. Reconstruction of the hypopharynx after surgical treatment of squamous cell carcinoma. J Chin Med Assoc 2009;72:351-355. doi: 10.1016/S1726- 4901(09)70386-7 Erişken, L., Coşun, H., Korun, N., Gebitekin, C,, Basut O . Total farengolarengoözofajektomi ve gastrik pull-up greftleme uygulanan 10 olgunun değerlendirilmesi. Kulak Burun Bogaz Ihtis Derg 2003;11:108-112 Fonseca AZ, Ribeiro Jr MAF, Frazâo M, Costas MC, Spinelli L, Contrucci O. Esophagectomy for a traumatic esophage¬al perforation with delayed diagnosis. World J Gastrointest Surg. 2009;1: 65-67. doi: 10.4240/wjgs.v1.i1.65. Homma, A., Nakamaru, Y., Hatakeyama, H., Mizumachi, T., Kano, S., Furusawa, J., Sakashita, T., Shichinohe, T., Ebihara, Y., Hirano, S., Furukawa, H., Hayashi, T., Yamamoto, Y., Fukuda, S. Early and long-term morbidity after minimally invasive total laryngo-pharyngo-e sophagectomy with gastric pull-up reconstruction via thoracoscopy, laparoscopy and cervical incision. Eur Arch Otorhinolaryngol.2014 Dec 5. 272:3551-3556. Iannetoni, MD., Whyte, RI., Orringer MB. Catastrophic complications of the cervical esophagogastric anastomosis. J Thorac Cardiovasc Surg 1995;110:1493-1500. Levy, RM., Wizorek, J., Shende, M., Luketich, JD. Laparoscopic and thoracoscopic esophagectomy. Adv Surg 2010; 44: 101–116 Linden, PA., Bueno, R., Mentzer, SJ., Zellos, L., Lebenthal, A., Colson, YL., Sugarbaker, DJ., Jaklitsch MT. Modified T-tube repair of dela yed esophageal perforation results in a low mortality rate similar to that seen with acute perforations. Ann Thorac Surg 2007;83:129-133. Lindenmann, J., Matzi, V., Porubsky, C., Anegg, U., Sankin, O., Gabor, S., Neuboeck, N., Maier, A., Smolle-Juettner, FM. Self-expandable covered metal tracheal type stent for sealing cervical anastomotic leak after esophagectomy and gastric pull-up: pitfalls and possibili ties. AnnThorac Surg 2008;85:354-356. McMahon, MA., O'Kelly, F., Lim, KT., Ravi, N., Reynolds, JV.Endoscopic T-tube placement in the management of lye-induced esophageal perforation: Case report of a safe treatment strategy. Patient Saf Surg. 2009;14;3:19. doi: 10.1186/1754-9493-3-19. Orringer, MB., Marshall, B., Chang, AC., Pickens, A., Lau, CL. Two thousand transhiatal esophagectomies: Changing trends, lessons lear ned. Ann Surg 2007;246:363-374. Shuangba, H., Jingwu, S., Yinfeng, W., Yanming, H., Qiuping, L., Xianguang, L., Weiqing, X., Shengjun, W., Zhenkun, Y. Complication following gastric pull-up reconstruction for advanced hypopharyngeal or cervical esophageal carcinoma: a 20-year review in a Chinese institute. Am J Otolaryngol. 2011;32:275-8. doi: 10.1016/j.amjoto. Sreehariprasad, AV., Krishnappa, R., Chikaraddi, BS., Veerendrakumar, K. Gastric pull up reconstruction after pharyngo laryngo esophagec tomy for advanced hypopharyngeal cancer. Indian J Surg Oncol. 2012;3:4-7. doi: 10.1007/s13193-012-0135-5. Yenigün, MB. Özofagus rezeksiyonlarında cerrahi komplikasyonlar www.toraks.org.tr/Download.aspx?book=1481 doi:10.5152/tcb.2013.22