Journal of Chest Surgery

  • 제54권3호
  • /
  • Pages.206-213
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  • 2021
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Surgical Treatment Outcomes of Acquired Benign Tracheoesophageal Fistula: A Literature Review

  • Kim, Sang Pil (Department of Thoracic and Cardiovascular Surgery, Ewha Womans University Seoul Hospital) ;
  • Lee, Juhyun (Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital) ;
  • Lee, Sung Kwang (Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital) ;
  • Kim, Do Hyung (Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine)
  • 투고 : 2021.02.01
  • 심사 : 2021.03.24
  • 발행 : 2021.06.05
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초록

Background: Tracheoesophageal fistula (TEFs) is a rare condition that requires complex surgical treatment. We analyzed the surgical outcomes of TEF reported in the literature and at Pusan National University Yangsan Hospital using standardized techniques. Methods: This retrospective study included 8 patients diagnosed with acquired benign TEF between March 2010 and December 2019. The surgical method was determined based on the size of the fistula observed within the endoscope. Results: TEF occurred in 7 patients (87.5%) after intubation or tracheostomy and in 1 patient (12.5%) after esophageal surgery due to conduit necrosis. For tracheal management, 5 and 2 patients underwent tracheal resection and end-to-end anastomosis and primary repair, respectively. The median length of resection was 2.5 cm (range, 1.3-3.4 cm). For esophageal management, 6 patients underwent primary repair and 1 patient underwent esophageal diversion. One patient underwent TEF division with a stapler. Interposition of a muscle flap was performed in 2 patients. TEF recurrence, esophageal stenosis, and dehiscence or granulation occurred in 1, 1, and 2 patients, respectively. A long-term tracheostomy tube or T-tube was used in 2 patients for >2 months. Conclusion: Although TEF surgery is complex and challenging, good results can be achieved if surgical standards are established and experience is accumulated.

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과제정보

This work was supported by a 2-Year Research Grant of Pusan National University.

참고문헌

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