Tracheo-gastric conduit fistula is an extremely rare but severe complication that is difficult to manage. Conservative care, esophageal or tracheal stent placement, or cutaneomuscular flaps have been suggested; however, no definite treatment has been proven. We report a case of tracheo-gastric conduit fistula that occurred after a minimally invasive radical three-field esophagectomy. Following the primary surgery, the diagnosis was made while evaluating the patient's frequent aspiration and coughing. Conservative management failed, and a surgical correction was undertaken to identify the multifocal mucosal defect and exposed tracheal ring. A sternocleidomastoid muscle rotation flap and subsequent Histoacryl injection into the remaining fistula were performed, and the fistula was successfully managed.

中文翻译：

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三野食管切除术联合胸锁乳突肌旋转皮瓣和 Histoacryl 注射治疗成功治疗气管胃导管瘘

气管-胃导管瘘是一种极其罕见但严重的并发症，难以控制。已建议保守治疗、食管或气管支架置入或皮肤肌肉瓣；然而，尚未证实确定的治疗方法。我们报告了一例在微创根治性三区食管切除术后发生的气管-胃导管瘘。初次手术后，在评估患者频繁误吸和咳嗽的情况下做出诊断。保守治疗失败，并进行手术矫正以确定多灶性粘膜缺损和暴露的气管环。进行了胸锁乳突肌旋转皮瓣和随后的 Histoacryl 注射到剩余的瘘管中，并成功地控制了瘘管。