イチキ　ヨシノブ   ICHIKI Yoshinobu   市来　嘉伸    所属   埼玉医科大学  医学部 国際医療センター　呼吸器外科    職種   専任講師
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	Novel technique to repair a bronchopleural fistula after esophagectomy usingwide intercostal muscle flap fixed by azygos vein and bronchus: a case report.
掲載誌名	正式名：Surgical case reports
巻・号・頁	6(1),183-183頁
著者・共著者	Yohei Honda,Akihiro Taira,Ayako Hirai,Koji Kuroda,Yoshinobu Ichiki,Fumihiro Tanaka
発行年月	2020/07
概要	BACKGROUND: Post-esophagectomy bronchopleural fistulas can be life-threatening in patients who are exhausted, for example, by surgical stress and pleural infection; therefore, establishment of a reliable surgical procedure is extremely important. We here report a novel procedure entailing muscle flap closure for bronchopleural fistula. CASE PRESENTATION: A 64-year-old man developed a right bronchopleural fistula after esophagectomy. Because he was exhausted by surgical stress and malnourished, we considered reliable surgical closure of the fistula essential. Intraoperatively, it was found to connect with the membranous portion of the right main bronchus. We decided to close the fistula with a pedicled fourth and fifth intercostal muscle flap. After separating the intercostal muscles near the angle of the rib, we passed a muscle flap between the azygos vein and bronchus and sutured it securely to the fistula. The postoperative course was uneventful, and there was no thoracic infection. Postoperative bronchoscopy confirmed the muscle flap had securely closed the fistula. CONCLUSIONS: The route and suturing technique of the intercostal muscle flap to a fistula are important, especiall
DOI	10.1186/s40792-020-00908-8
PMID	32728786