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Fig. 4 | Surgical Case Reports

Fig. 4

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

Fig. 4

Schema of operative findings. We found anastomosis and separated from the trachea (black arrow). GTF was visualized between the trachea and the gastric conduit (blue arrow). The left main bronchial fistula was covered with omentum (blue arrowhead). Black arrowhead shows the omentum. This schema is created from Fig. 3a (a). We performed direct suture for GTF on the right side at the trachea (b). The intercostal muscle was inserted and covered above the sutured portion (c). The area including the intercostal muscle flap (black arrowhead) and left main bronchial fistula covered with omentum (blue arrowhead) was widely covered and fixed with this latissimus dorsi muscle flap (blue arrow). Black arrow shows the remnant gastric conduit (d)

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