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首页> 外文期刊>Esophagus >Left brachiocephalic vein injury during esophagectomy
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Left brachiocephalic vein injury during esophagectomy

机译：食管切除术中左头臂脑静脉损伤

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摘要

Left brachiocephalic vein injury has not yet been reported during reconstruction after esophagectomy. A 58-year-old male patient was diagnosed with cervical esophageal squamous cell carcinoma and subsequently underwent subtotal esophagectomy followed by neo-adjuvant chemotherapy. The left brachiocephalic vein was accidentally injured when making a retrosternal space. The brachiocephalic vein was ligated followed by rapid sternotomy, and cervical esophagostomy without tumor resection and jejunostomy were performed for damage control. Complete resection of the cervical esophageal tumor and free jejunal transplantation for reconstruction were performed 55 days after the initial surgery. The patient is now well and has survived for more than 34 months after the reconstruction. Surgeons should consider left brachiocephalic vein injury when making a retrosternal space. Damage control surgery and preparation for a second surgery may be important in cases of accidental major vascular injury during esophagectomy.
机译：食管切除术后重建期间尚无左臂头颅静脉损伤的报道。一名58岁的男性患者被诊断患有宫颈食管鳞状细胞癌，随后接受了大体食管切除术，随后进行了新辅助化疗。进行胸骨后间隙时，左头臂脑静脉意外受伤。结扎肱头静脉，然后进行快速胸骨切开术，并进行无肿瘤切除和空肠造口术的宫颈食管吻合术以控制损伤。初次手术后55天，完全切除了宫颈食管肿瘤并进行了空肠移植重建。该患者现已康复，并在重建后存活了超过34个月。做胸骨后间隙时，外科医生应考虑左臂头颅静脉损伤。在食管切除术中意外的主要血管损伤的情况下，损伤控制手术和第二次手术的准备可能很重要。

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