症例報告食道癌術後早期に気管胃管痩を合併した1例

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The patient was a４５-year-old man. He had suffered from nephrotic syndrome at time of histwenties and had steroid salvage treatment. But he retired the treatment by himself. Esophagealtumor was suspected at the screening, and he was referred to our hospital.Preoperative diagnosis was the adenocarcinoma of the esophagogastric junction（cT２N０M０stage Ⅱ）．Thoracoscopy assisted subtotal esophagectomy in prone position with D２dissection was performed.Gastric role was prepared in laparoscopic approach, and pulled up to the neck via posteriormediastinal route. Although early postoperative course was uneventful and esophageal fluoroscopyon the７th day showed no leakage, sudden dyspnea appeared on the８th day. CT examination andBronchoscopy showed tracheoesophageal fistula. Unfortunately, the fistula didn’t get well, and weconsidered that it was difficult to close the fistula by only conservative treatment.Esophageal covered stent was inserted on the５６th day. After that, he could start ingestion intakeand was discharged from hospital on the８５th day. Now, he is being followed up in our hospital.
2012-04-25