necessity of routine thoracostomy tube insertion after transhiatal esophagectomy

Necessity of routine thoracostomy tube insertion after transhiatal esophagectomy

Introduction: Transhiatal esophagectomy is a widely accepted approach for palliative resection of subcarinal esophageal cancers. This study was designed to evaluate the necessity of routine thoracostomy tube insertion in this technique.  Methods: This descriptive study was conducted on 123 consecutive patients with esophageal cancers undergoing transhiatal esophagectomy from March 2001 to Fe...

Rapid atrial fibrillation following tube thoracostomy insertion.

We report a case of trauma patient, whose heart rhythm and rate changed from sinus tachycardia to rapid atrial fibrillation. The change occurred immediately after the insertion of left thoracostomy tube. The patient did not respond to pharmacological treatment. Only when the tube was pulled out, the rhythm returned to sinus. Chest radiogram shows the position of the tube, in close proximity to ...

Intestinal-type gastric adenocarcinoma in a reconstructed gastric tube, after transhiatal esophagectomy.

Diaphragmatic Hernia after Transhiatal Esophagectomy for Esophageal Cancer

Diaphragmatic hernia was found in a patient who had undergone transhiatal esophagectomy for early esophageal cancer. Chest X-ray was not helpful, but abdominal or chest computed tomography was useful for accurate diagnosis. Primary repair through thoracotomy was performed and was found to be feasible and effective. However, long-term follow-up is required because hernia recurrence is common.

Combined chylous neck fistula, chylothorax and chyloperitoneum after transhiatal esophagectomy.

A 65-year-old man sequentially developed a chylous neck fistula, left-sided chylothorax, and chylous ascites after a transhiatal total esophagectomy for adenocarcinoma of the distal esophagus. The pathophysiology of this unusual accumulation of chyle in three separate anatomic compartments is examined.

Herniation of colon following transhiatal esophagectomy.

We report a 38-year-old man with intestinal obstruction following transhiatal esophagectomy for carcinoma esophagus; it occurred secondary to herniation of the transverse colon through the esophageal hiatus into the mediastinum. The patient is asymptomatic after reduction of the hernia and repair of the disphragmatic hernia.