Abstract
Abstract Tracheal tears are serious complications of esophagectomy With limited options available in a potentially unstable patient, timely management is a must Using minimal access skills and endosuturing, an experienced surgeon can tackle this surgical emergency with primary repair Adjunct step of omental wrapping can be added to buttress this repair 55 year gentleman with middle 1/3rd esophageal SCC post CROSS protocol neoadjuvant chemoradiation Underwent thoracic dissection thoracoscopically with no events During neck dissection, while looping the cervical esophagus, there is a sudden gush of air with fall in Oxygen saturation Following is the video of how the surgical and anesthestic team handled the situation.
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