Minimally Invasive Approach to Esophageal Perforation after Endoscopic Ultrasound-Guided Fine-Needle Aspiration: A Report of 2 Cases

Esophageal perforation after endoscopic ultrasound-guided fine-needle aspiration for mediastinal staging is a rare but severe complication. We report 2 cases of patients with esophageal perforation who were treated using video-assisted thoracoscopic surgery in combination with esophageal stenting. Through these cases, the feasibility of minimally invasive thoracic surgery was evaluated.

Bronchus perforation by EZ-Blockerâ„¢ endobronchial blocker during esophageal resection after neoadjuvant chemoradiation: a case report / 대한마취과학회지

BACKGROUND@#Double-lumen tubes (DLT) and endobronchial blockers (EB) are used for one-lung ventilation in thoracic surgery. More complications are seen when using DLT when compared to EB, while major complications are rarely seen.CASE: This case report describes a perforation of the right mainstem bronchus by an EZ-Blocker EB in a patient undergoing a minimally invasive esophagectomy after neoadjuvant chemoradiation.@*CONCLUSIONS@#We advise to insert an EZ-Blockerâ„¢ EB with caution and only under direct bronchoscopic visualization, especially in previous irradiated patients.

Bronchus perforation by EZ-Blocker™ endobronchial blocker during esophageal resection after neoadjuvant chemoradiation: a case report / 대한마취과학회지

BACKGROUND: Double-lumen tubes (DLT) and endobronchial blockers (EB) are used for one-lung ventilation in thoracic surgery. More complications are seen when using DLT when compared to EB, while major complications are rarely seen. CASE: This case report describes a perforation of the right mainstem bronchus by an EZ-Blocker EB in a patient undergoing a minimally invasive esophagectomy after neoadjuvant chemoradiation. CONCLUSIONS: We advise to insert an EZ-Blocker™ EB with caution and only under direct bronchoscopic visualization, especially in previous irradiated patients.