Open AccessLaparoscopic retrosternal gastric pull-up for fistulized mediastinal mass
Author(s) -
Benedetto Mungo,
Arianna Barbetta,
Anne O. Lidor,
Miloslawa Stem,
Daniela Molena
Publication year - 2017
Publication title -
world journal of gastrointestinal surgery
Language(s) - Uncategorized
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v9.i3.92
Subject(s) - medicine , surgery , esophagectomy , anastomosis , empyema , esophagus , fistula , stent , chest tube , esophageal cancer , cancer , pneumothorax
We describe the case of a patient successfully reconstructed with laparoscopic retrosternal gastric pull-up after esophagectomy for unresectable posterior mediastinal inflammatory myofibroblastic tumor, eroding into the esophagus and compressing the airways. A partial esophagectomy with esophagostomy was performed for treatment of esophageal pleural fistula and empyema, while the airways were managed with the placement of an endobronchial stent. Gastrointestinal reconstruction was performed using a laparoscopic approach to create a retrosternal tunnel for gastric conduit pull-up and cervical anastomosis. The patient was discharged uneventfully after 6 d, and has done very well at home with normal diet.