Taner İlhami KALE, Nursel YURTTUTAN, Arif EMRE, Selami Ilgaz KAYILIOĞLU, Tolga DİNÇ, Mehmet SERTKAYA

Özofagus Kanseri Nedeni ile Uygulanan Ivor-Lewis Operasyonu Özofagus Kanseri Nedeni ile Uygulanan Ivor-Lewis Operasyonu Sonucu Gelişen Katastrofi k Komplikasyonlar: Olgu Sunumu Sonucu Gelişen Katastrofi k Komplikasyonlar: Olgu Sunumu

Özofagus kanserinin tedavisi amacıyla yapılan özofajektomiler sonrası birçok medikal veya cerrahi komplikasyon gelişebilmektedir. Bunların bir kısmı minör olarak nitelendirilen tedavisi kolay olan komplikasyonlar iken, majör komplikasyonlar olarak sınıfl andırdığımız diğer kısmın tedavisi oldukça zor olup morbidite ve mortaliteye sebep olurlar. Özofajektomi sonrası eşzamanlı olarak bronkomediastinal ve özofagomediastinal fi stül gelişmesi oldukça nadirdir. Özofagus kanseri tedavisi için neoadjuan kemoradyoterapi verildikten sonra laparoskopik ve torakoskopik Ivor-Lewis özofajektomi yapılan ve postoperatif erken dönemde bu iki ciddi komplikasyonun da geliştiği bir erkek hastayı sunuyoruz.

Catastrophic Complications After Ivor-Lewis Procedure Due To Esophagus Cancer: A Case Report

Medical and surgical complications can occur after esophagectomy due to esophageal cancer. Minor complications can be treated easily but major complications can only be treated with diffi culty and can lead to mortality and morbidity. Bronchomediastinal and esophagomediastinal fi stula in the same patient is a rare condition. We present a male patient who had bronchomediastinal and esophageal mediastinal fi stula as an early complication of radiotherapy and an Ivor-Lewis esophagectomy procedure for the treatment of esophageal cancer.

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