esophagobronchial fistula repair

Surgical treatment of the middle esophageal traction diverticulum includes: diverticulum resection, diverticulum embedding, esophageal bronchial suture repair, and partial esophagogastric anastomosis. In the diverticulum, the cancerous or non-reversible scar stenosis should be performed with partial esophageal resection or more complete diverticulum resection. The choice of procedure depends on the patient's general condition and the condition of the lesion itself. Strict control of surgical indications and accurate and meticulous surgical operations to avoid unnecessary surgical trauma is an important measure to ensure the success or failure of the operation. Treatment of diseases: esophageal injury Indication Esophageal bronchospasm is not easy to heal, and can lead to severe lung infections and lung purulence, which must be treated surgically. Surgery should be performed through the thoracic incision to reveal the esophagus and tracheobronchial tree, determine the site of the hernia, close the fistula, and cover with a healthy pedicled pleural or muscle flap to reduce the chance of recurrence. At the same time, the diseased lungs that have been damaged and irreversible should be removed together. Some authors suggest that tracheostomy may be performed during surgery to prevent postoperative bronchial sutures from cracking and recurrence of sputum, as well as early bronchial lavage in the early postoperative period. If the closure of the esophageal fistula is found to be unsatisfactory during surgery, a cervical esophageal diversion and a gastrostomy may be performed. After the patient is restored, the reconstruction of the esophagus is considered.

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