Transhiatal esophagectomy has recently been popularized for both benign and malignant esophageal disease. While we were performing a transhiatal esophagectomy for a squamous cell cancer of the upper third of the esophagus, a tear in the membranous trachea near the carina occurred. This was repaired through the cervical incision with a free pericardial patch. This solution to a potentially catastrophic complication of transhiatal esophagectomy gave a satisfactory result without early or late postoperative respiratory complications. © 1992.
Gorenstein, L. A., Abel, J. G., & Patterson, G. A. (1992). Pericardial repair of a tracheal laceration during transhiatal esophagectomy. The Annals of Thoracic Surgery, 54(4), 784–786. https://doi.org/10.1016/0003-4975(92)91034-7