초록접수 현황
| 16F-178 | 포스터 발표 |
Tracheoesophageal Fistulectomy using Endoscopic Guidewire : Case Report
Shin Jinwon, Youngkyu Moon, Sook Whan Sung
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Korea
Background : The patient was a 58-year-old woman who reported having frequent coughing and aspiration from when she was 10 years old. She was diagnosed tracheoesophageal fistula 3 years ago in another hospital. They tried to treat TEF using endoscopy. However, the treatment failed and they observed the patient. Symptom was aggrevated and the patient came to our hospital for another treatment plan.
Methods : We tried VATS fistulectomy & RML lobectomy in 2015-01-08. A fistulous tract between middle esophagus and bronchus intermedius was visible. We resected the fistula and observed there was not a air leak.
Several months later, the patient reported coughing and sputum. We did bronchoscopy with fluoroscopy guidence. The guidewire was passed through previous TEF. We decided reoperation for reccurent TEF
In operation room, before surgery, we inserted guidewire into tracheoesophageal fistula using endoscopy. Using endoscopy and guided wire, we observed the fistula tract obviously. We diviede fisula tract using endostapler and closed a opening site of bronchus intermedius and esophagus.
Results : The surgery was successful and the patient no more reported coughing and sputum.
Conclusion : Regarding treatment of TEF, fistula tract is sometime hard to find intraoperatively with bare eyes. Using guidewire and endoscopy can be helpful to figure out how to find fistula tract exactly and resect the lesion successfully.
Methods : We tried VATS fistulectomy & RML lobectomy in 2015-01-08. A fistulous tract between middle esophagus and bronchus intermedius was visible. We resected the fistula and observed there was not a air leak.
Several months later, the patient reported coughing and sputum. We did bronchoscopy with fluoroscopy guidence. The guidewire was passed through previous TEF. We decided reoperation for reccurent TEF
In operation room, before surgery, we inserted guidewire into tracheoesophageal fistula using endoscopy. Using endoscopy and guided wire, we observed the fistula tract obviously. We diviede fisula tract using endostapler and closed a opening site of bronchus intermedius and esophagus.
Results : The surgery was successful and the patient no more reported coughing and sputum.
Conclusion : Regarding treatment of TEF, fistula tract is sometime hard to find intraoperatively with bare eyes. Using guidewire and endoscopy can be helpful to figure out how to find fistula tract exactly and resect the lesion successfully.
책임저자: Sook Whan Sung
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Korea
발표자: Shin Jinwon, E-mail : rockinupmtv@naver.com