PMC6424054_01
Preoperative contrast CT (see comments in the text).
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CT scan confirmed the diagnosis, showing 33 x 29 x 55 mm tumor of the middle third of the esophagus intensively and irregularly absorbing contrast (Fig. 1).
The double-lumen endotracheal tube blue bronchial cuff is seen in the right main bronchus through the rupture.
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The first rupture with sizes of 15 mm was situated in the area of the left main bronchus right below the tracheal bifurcation (Fig. 2).
The tracheal cuff is seen in the trachea through the 30 mm rupture.
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Another defect was located on the membranous part of the trachea and had the size of 30 mm (Fig. 3).
The ruptures are sewn with Stratafix 3.0 suture.
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The intraoperative ruptures were sewn on an endotracheal tube using continuous Stratafix 3.0 suture (Fig. 4).
Thoracoscopic hand-sewn esophagogastroanastomosis.
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The esophagogastroanastomosis was performed using V-loc 2.0 suture at the level of the pleural dome (Fig. 5).
Postoperative esophagogram with Urografin swallow.
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On the 10th day after the surgery an esophagogram with liquid contrast (Urografin) was performed (Fig. 6).