Post-intubation tracheal injury during esophagectomy

Authors

  • Mahesh Mani Adhikari Thoracic Unit, Dept of Surgical Oncology B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal
  • Binay Thakur Thoracic Unit, Dept of Surgical Oncology B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal
  • Zhenqing Shun Thoracic Unit, Dept of Surgical Oncology B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal
  • Sagar Khatiwada Thoracic Unit, Dept of Surgical Oncology B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal
  • Shashank Shrestha Thoracic Unit, Dept of Surgical Oncology B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal
  • Ashish Kharel Thoracic Unit, Dept of Surgical Oncology B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal
  • Sachee Bhattarai Thoracic Unit, Dept of Surgical Oncology B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal

DOI:

https://doi.org/10.3126/njc.v8i1.68240

Keywords:

Trachea, Intubation, Tracheostomy.

Abstract

Post-intubation tracheal injuries are rare complications with serious consequences. Several factors increase the risk of tracheal injuries which may be attributed to patient, or procedure related. Majority of the tracheal injuries are managed surgically, however, role of less invasive and conservative treatment are also emerging.

Case: we report a case of an elderly lady who underwent minimally invasive esophagectomy for esophageal carcinoma. She developed significant surgical emphysema within hours after surgery and massive air leak through underwater seal chest drainage tube. She was taken for emergency re-exploration. On table bronchoscopy confirmed 5 cm longitudinal tear of membranous part of cervical and upper thoracic trachea. Thoracoscopic repair along with transcervical-transtracheal repair of membranous wall of trachea and a tracheostomy was performed. She made significant recovery with few complications which were managed successfully.

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Published

2024-07-30

How to Cite

Adhikari , M. M., Thakur, B., Shun, Z., Khatiwada, S., Shrestha, S., Kharel, A., & Bhattarai, S. (2024). Post-intubation tracheal injury during esophagectomy. Nepalese Journal of Cancer, 8(1), 64–70. https://doi.org/10.3126/njc.v8i1.68240

Issue

Vol. 8 No. 1 (2024)

Section

Case Reports

License

Copyright (c) 2024 Nepalese Journal of Cancer

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