Fecopneumothorax Surgery by Thoracoabdominal Incision after McKeown Esophagectomy

Julio Sesma and Mong-Wei Lin

Department of Thoracic Surgery, Hospital General Universitario Alicante, Alicante, Spain
Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

^*Correspondance to: Mong-Wei Lin 

 PDF  Full Text DOI: 10.25107/2474-1647.2155

Abstract

Fecopneumothorax is an unusual but life-threatening condition. Fecopneumothorax after esophagectomy is extremely rare, with only two reported cases; it is managed with a twostaged surgical approach: Laparotomy followed by thoracotomy. We report the first case, to our knowledge, of fecopneumothorax due to colonic intrathoracic perforation after minimally invasive esophagectomy managed by a left thoracoabdominal incision and barrel-loop colostomy. As the surgical field was already known to be contaminated, loop colostomy was considered to avoid anastomotic site leakage and related complications. The thoracoabdominal incision is a safe and feasible approach that allows one-step surgery for the thoracic and abdominal field.

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Cite the article

Sesma J, Lin M-W. Fecopneumothorax Surgery by Thoracoabdominal Incision after McKeown Esophagectomy. Clin Surg. 2018; 3:2155.