Gastric Tube Staple Line Perforation in the Early Postoperative Period After Esophageal Reconstruction

DOI 24 References
  • Takemura Masashi
    Department of Surgery, Goshi Hospital Department of Upper Gastrointestinal Surgery, Hyogo College of Medicine
  • Mayumi Katsuyuki
    Department of Surgery, Goshi Hospital
  • Ikebe Takashi
    Department of Emergency Medicine, Higashi Sumiyoshi Morimoto Hospital

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  • 保存的に治癒しえた食道再建術後早期の胃管ステープルライン穿孔の１例

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Abstract

Perforation of the gastric tube is a rare complication after esophagectomy. We report a case of a 55-year-old woman who developed a gastric tube staple line perforation in the early postoperative period after esophageal reconstruction. We had performed thoracoscopic esophagectomy in the prone position for middle thoracic esophageal cancer. Three weeks later, we performed laparoscopic gastroplasty. Two days after reconstruction, more than 1,000ml of dirty fluid was discharged from the thoracic drain. Chest computed tomography revealed a perforation of the right side of the gastric tube. However, no ischemic change was observed at the gastric tube. The patient was conservatively treated with thoracic drainage and she resumed ingestion 29 days after the reconstruction. She was discharged from our hospital 74 days after admission. To prevent gastric tube staple line perforation, surgeons should understand the characteristics of different types of linear staplers and techniques for using them. In addition, appropriate choice of staples and careful maneuvering of the gastric tube are essential.

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