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Fig. 3 | Surgical Case Reports

Fig. 3

From: Repair of gastro-tracheobronchial fistula after esophagectomy for esophageal cancer using intercostal muscle and latissimus dorsi muscle flaps: a case report

Fig. 3

We separated the anastomosis from the trachea. An upper Penrose drain was placed in the esophagus, and a lower Penrose drain was placed in the gastric conduit. The GTF was visualized between the trachea and the gastric conduit (black arrow) (a). The latissimus dorsi muscle flap was constructed (b). The intercostal muscle flap was constructed (c). After incision of the GTF, direct sutures were used to close the fistula, which was then covered using the intercostal muscle flap (d). The latissimus dorsi muscle flap covered the area above the intercostal muscle flap (e)

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