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Thoracoscopic pericardial patch repair of iatrogenic major bronchial injury during oesophagectomy

Tracheobronchial injuries are rare but dreaded and potentially lethal complications of oesophagectomy. The reported literature on tracheobronchial injuries in thoraco-laparoscopic oesophagectomy is sparse. They may be detected either intraoperatively or in the post-operative period. Those tracheobro...

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Detalles Bibliográficos
Autores principales: Gadiyaram, Srikanth, Nachiappan, Murugappan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632713/
https://www.ncbi.nlm.nih.gov/pubmed/35915528
http://dx.doi.org/10.4103/jmas.jmas_67_22
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author Gadiyaram, Srikanth
Nachiappan, Murugappan
author_facet Gadiyaram, Srikanth
Nachiappan, Murugappan
author_sort Gadiyaram, Srikanth
collection PubMed
description Tracheobronchial injuries are rare but dreaded and potentially lethal complications of oesophagectomy. The reported literature on tracheobronchial injuries in thoraco-laparoscopic oesophagectomy is sparse. They may be detected either intraoperatively or in the post-operative period. Those tracheobronchial injuries detected intraoperatively usually need conversion to an open procedure for appropriate management. The surgical approaches and the methods employed for closure depend on the size and location of the rent. The methods of surgical repair include primary closure, gastric patch closure, pericardial patch, pleural patch, pedicled intercostal muscle flap, dural graft and synthetic polytetrafluoroethylene grafts. Herein, we report a thoracoscopic repair of a major bronchial injury encountered in a patient during thoracoscopic oesophagectomy using a pericardial patch. To the best of our knowledge, this is the first report of a thoracoscopic repair of a bronchial injury using a pericardial patch.
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spelling pubmed-96327132022-11-04 Thoracoscopic pericardial patch repair of iatrogenic major bronchial injury during oesophagectomy Gadiyaram, Srikanth Nachiappan, Murugappan J Minim Access Surg Troubleshooting in Minimal Access Surgery Tracheobronchial injuries are rare but dreaded and potentially lethal complications of oesophagectomy. The reported literature on tracheobronchial injuries in thoraco-laparoscopic oesophagectomy is sparse. They may be detected either intraoperatively or in the post-operative period. Those tracheobronchial injuries detected intraoperatively usually need conversion to an open procedure for appropriate management. The surgical approaches and the methods employed for closure depend on the size and location of the rent. The methods of surgical repair include primary closure, gastric patch closure, pericardial patch, pleural patch, pedicled intercostal muscle flap, dural graft and synthetic polytetrafluoroethylene grafts. Herein, we report a thoracoscopic repair of a major bronchial injury encountered in a patient during thoracoscopic oesophagectomy using a pericardial patch. To the best of our knowledge, this is the first report of a thoracoscopic repair of a bronchial injury using a pericardial patch. Wolters Kluwer - Medknow 2022 2022-07-11 /pmc/articles/PMC9632713/ /pubmed/35915528 http://dx.doi.org/10.4103/jmas.jmas_67_22 Text en Copyright: © 2022 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Troubleshooting in Minimal Access Surgery
Gadiyaram, Srikanth
Nachiappan, Murugappan
Thoracoscopic pericardial patch repair of iatrogenic major bronchial injury during oesophagectomy
title Thoracoscopic pericardial patch repair of iatrogenic major bronchial injury during oesophagectomy
title_full Thoracoscopic pericardial patch repair of iatrogenic major bronchial injury during oesophagectomy
title_fullStr Thoracoscopic pericardial patch repair of iatrogenic major bronchial injury during oesophagectomy
title_full_unstemmed Thoracoscopic pericardial patch repair of iatrogenic major bronchial injury during oesophagectomy
title_short Thoracoscopic pericardial patch repair of iatrogenic major bronchial injury during oesophagectomy
title_sort thoracoscopic pericardial patch repair of iatrogenic major bronchial injury during oesophagectomy
topic Troubleshooting in Minimal Access Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632713/
https://www.ncbi.nlm.nih.gov/pubmed/35915528
http://dx.doi.org/10.4103/jmas.jmas_67_22
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