Surgical Treatment of Esophagobronchial Fistula Induced by Esophageal Carcinoma_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LEI Jie , ZHANG Na , LUO Qing

Department of Thoracic Surgery, Tangdu Hospital, the Fourth Military Medical University, Xi’an 710038, P. R. China;

Corresponding author：

Keywords：

Esophageal carcinoma; Esophagobronchial fistula; Surgical treatment

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Abstract： Objective To summarize the technical characteristics and experience on the surgical treatment of esophagobrochial fistula induced by esophageal carcinoma and explore the safe and effective operation procedures. Methods This report retrospective1y summarized 12 cases of esophagobronchial fistula induced by esophageal cancer between January 2007 and November 2010 in Tangdu Hospital, Fourth Military Medical University. There were 9 male patients and 3 female patients with their mean age of 51.24 years (ranging from 37 to 62 years). Four types of surgical procedures were performed to patients according to their respective conditions: (1) Esophagectomy ＋“tunnel”esophagogastrostomy ＋ pulmonary lobectomy (2 patients)； (2) Esophagectomy ＋ stapled esophagogastrostomy ＋ pulmonary lobectomy (5 patients)； (3) Esophagectomy ＋ colon interposition for esophagus ＋ pulmonary lobectomy (4 patients)； (4) Esophagectomy ＋ esophagogastrostomy ＋ left pneumonectomy (1 patient). Results Among those 12 cases presenting to our hospital, 2 patients died during the postoperative period and the overall morality was 16.67%(2/12). One patient died of acute congestive heart failure on the 4th postoperative day after esophagectomy, “tunnel”esophagogastrostomy and left lower lobectomy of the lung for esophageal carcinoma directly invading the left lower bronchus, and another patient died of severe infection and renal failure on the 11th postoperative day after esophagectomy, stapled esophagogastrostomy and left upper lobectomy of the lung for esophageal carcinoma directly invading the left upper bronchus. Four patients developed mild empyema and 1 patienthad bronchial fistula after surgery, who finally recovered and were discharged after treatment of antibiotics and drainage. The postoperative morbidity was 41.67%（5/12）. All surviving patients were followed up from 1 month to 3 years. During follow-up, there was one death, and the other patients were alive without any clinical events. Conclusion Individualized surgical procedure is a safe and effective therapeutic choice for patients with esophagobronchial fistula induced by esophageal carcinoma.

Citation： LEI Jie,ZHANG Na,LUO Qing,et al .. Surgical Treatment of Esophagobronchial Fistula Induced by Esophageal Carcinoma. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2012, 19(1): 36-38. doi: Copy

1.	Seto Y, Yamada K, Fukuda T, et al. Esophageal bypass using a gastric tube and a cardiostomy for malignant esophagorespiratory fistula. Am J Surg, 2007, 193(6)： 792-793.
2.	Butt M, Diehl W, Martini N, et al. Malignant esophagorespiratory fistula：management options and survival. Ann Thorac Surg, 1991, 52(6)：1222-1228．.
3.	李栋, 张志泰, 宋飞强, 等.多发食管气管瘘一例.中国胸心血管外科临床杂志, 2010, 17（3）：191.
4.	Bamba T, Kosugi S, Kanda T, et al. Successful treatment for a benign esophagorespiratory fistula with perioperative nutritional management and multistep esophageal bypass operation： a case report. Esophagus, 2008, 5（2）： 93-97.
5.	许洪瑞, 杨炳军, 林国治, 等. 食管癌穿孔并发呼吸道瘘的外科治疗. 中国综合临床, 2003, 19（7）：637-639.
6.	Goh PM, Kum CK, Toh EH. Endoscopic patch closure of malignant esophagotracheal fistula using Histoacryl glue. Surg Endosc, 1994, 8（12）：1434-1435.
7.	Saito Y, Imamura H.Airway stenting. Surg Today, 2005, 35(4)： 265-270.
8.	张川.气管食管瘘与支气管食管瘘诊治进展.山东医药, 2009, 49（32）：3-4.
9.	罗海龙, 林尤恩, 叶志, 等.带膜支架治疗食管恶性狭窄与食管支气管瘘的临床观察. 影像诊断与介入放射学, 2010, 19（3）：168-169.
10.	殷世武, 项廷淼, 叶录安．食管支架治疗食管狭窄及食管瘘的并发症及其处理．现代医用影像学, 2007, 16（5）：204-206.
11.	韦海涛, 张双林, 王利娜, 等.食管良性狭窄金属支架治疗后的并发症及再手术治疗.中华胸心血管外科杂志, 2008, 24（1）：51-52.
12.	Macchiarini P, Verhoye JP, Chapelier A, et al. Evaluation and outcome of different surgical techniques for postintubation tracheoesophageal fistulas. J Thorac Cardiovasc Surg, 2000, 119(2)：268-276.
13.	刘建明, 何喜, 王志强, 等.恶性肿瘤致食管气管支气管瘘15例诊治分析.山东医药, 2009, 49（18）：22.

1. 　Seto Y, Yamada K, Fukuda T, et al. Esophageal bypass using a gastric tube and a cardiostomy for malignant esophagorespiratory fistula. Am J Surg, 2007, 193(6)： 792-793.
2. 　Butt M, Diehl W, Martini N, et al. Malignant esophagorespiratory fistula：management options and survival. Ann Thorac Surg, 1991, 52(6)：1222-1228．.
3. 　李栋, 张志泰, 宋飞强, 等.多发食管气管瘘一例.中国胸心血管外科临床杂志, 2010, 17（3）：191.
4. 　Bamba T, Kosugi S, Kanda T, et al. Successful treatment for a benign esophagorespiratory fistula with perioperative nutritional management and multistep esophageal bypass operation： a case report. Esophagus, 2008, 5（2）： 93-97.
5. 　许洪瑞, 杨炳军, 林国治, 等. 食管癌穿孔并发呼吸道瘘的外科治疗. 中国综合临床, 2003, 19（7）：637-639.
6. 　Goh PM, Kum CK, Toh EH. Endoscopic patch closure of malignant esophagotracheal fistula using Histoacryl glue. Surg Endosc, 1994, 8（12）：1434-1435.
7. 　Saito Y, Imamura H.Airway stenting. Surg Today, 2005, 35(4)： 265-270.
8. 　张川.气管食管瘘与支气管食管瘘诊治进展.山东医药, 2009, 49（32）：3-4.
9. 　罗海龙, 林尤恩, 叶志, 等.带膜支架治疗食管恶性狭窄与食管支气管瘘的临床观察. 影像诊断与介入放射学, 2010, 19（3）：168-169.
10. 　殷世武, 项廷淼, 叶录安．食管支架治疗食管狭窄及食管瘘的并发症及其处理．现代医用影像学, 2007, 16（5）：204-206.
11. 　韦海涛, 张双林, 王利娜, 等.食管良性狭窄金属支架治疗后的并发症及再手术治疗.中华胸心血管外科杂志, 2008, 24（1）：51-52.
12. 　Macchiarini P, Verhoye JP, Chapelier A, et al. Evaluation and outcome of different surgical techniques for postintubation tracheoesophageal fistulas. J Thorac Cardiovasc Surg, 2000, 119(2)：268-276.
13. 　刘建明, 何喜, 王志强, 等.恶性肿瘤致食管气管支气管瘘15例诊治分析.山东医药, 2009, 49（18）：22.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Surgical Treatment of Esophagobronchial Fistula Induced by Esophageal Carcinoma

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