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Updated: May 5, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
[Open drainage with Vacuum Assisted Closure( VAC) therapy for Aspergillus empyema after left upper lobectomy with
Tatsuya Gotoh1, Tadashi Aoki, Masatomo Yazawa
1Department of Chest Surgery, Niigata Prefectural Central Hospital, Jyoetsu, Japan.
Abstract:
A 59-year-old man was diagnosed as Aspergillus empyema with fistula after left upper lobectomy and radiation therapy. His pyrexia was continued after conservative treatment with antifungal agents. Initially, fenestration and vacuum-assisted closure (VAC) therapy were performed. The Aspergillus terreusdisappeared and inflammatory reactions were normalized. Eight days after fenestration, pectoralis major muscle flap transposition was subsequently performed. His postoperative course was uneventful. No recurrent empyema was found 15 months after surgery.
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