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- W4386002580 abstract "Esophagobronchial or esofagopulmonary fistulas are a rare complication after EA/TEF repair. Postoperative scarring and recurrent infections render surgical treatment a potentially hazardous undertaking. This report describes the used of infrared (IR) technology to locate and safely dissect a broncho-esophageal fistula in a 11-year-old female with a history of EA/TEF. The patient, who had initially undergone primary repair via thoracotomy, was diagnosed with a late tracheoesophageal fistula (TEF) recurrence at the age of 6 after several pulmonary infections and was subjected to a left thoracoscopy with successful closure of the TEF. Despite both surgical procedures, she presented ongoing respiratory symptoms for several years and was referred to our center as an 11-year-old, where further examinations revealed the presence of a bronchoesophageal fistula involving the right upper bronchus. After an unsuccessful attempt at endoscopic closure, surgical treatment via right thoracoscopy was planned. Initially, an endoscopic examination was performed, to catheterize the fistulous tract in the mid-thoracic esophagus with the infrared probe. Subsequently, a right thoracoscopy was performed in a prone position using four 5mm trocars. Guided by the IR signal, the fistulous tract was easily identified and dissected. Fistula closure was achieved using a 5-mm stapler. The suture was reinforced with a pleural flap and a right thoracic tube was inserted. The patient was discharged after a four-day hospital stay, without complications. The patient remains asymptomatic to date and has returned to her native Ukraine." @default.
- W4386002580 created "2023-08-20" @default.
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- W4386002580 date "2023-10-01" @default.
- W4386002580 modified "2023-10-12" @default.
- W4386002580 title "Utility of Infrared Technology in Minimally Invasive Procedures: A Novel Strategy to Identify a Esophagobronchial Fistula via Thoracoscopy" @default.
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- W4386002580 doi "https://doi.org/10.1016/j.yjpso.2023.100049" @default.
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