V-30. Airway and Vascular Mishaps During Esophagectomy

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ID: 325648
2026
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Ranked #19 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

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Abstract
Abstract Topic Esophageal Cancer: Trauma Video Description This is video presentation of intraoperative airway and vascular injuries. Intraoperative airway injury is a nightmare for any thoracic surgeon. It's a catastrophic event that no surgeon wants to face, it complicates the whole post operative recovery of the patient. It is important to have idea about the high risk cases prone for such events, a careful dissection and a low threshold to conversion to open approach can prevent such events. In case of injury, repair is usually with help of interrupted 4 O, suture, repair are buttressed with local available flaps, like intercostal muscle, pericardial fat or rarely serious anterior muscle flaps. Extubation, immediately following surgery is better for healing of intra-operative airway injuries. Most common vessels injured during esophagectomy are azygous vein, bronchial artery and direct branches from descending thoracic aorta. For the control of vascular injury, it is important to have good camera vision, pressure hemeostasis, carefully dissection of surrounding area and if needed calling for help. Smaller vessels like bronchial artery can be controlled with hemeostatic energy sources, bigger calibre vessels usually require clipping. We present some of our encounter with such events and our unique way of managing such complications (endosponge for treatment of tracheo- gastric fistula).
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Authors Virendra Kumar Tiwari, D. Niyogi, Sabita Jiwnani, Karthik Venkataramani, C S Pramesh
Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.430
URL
https://doi.org/10.1093/dote/doag077.430
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