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[One stage resection of esophageal cancer and pulmonary bulla--a report of three patients].

Since 1982, three patients with esophageal cancer complicated with pulmonary bullae have been treated by operation on the esophagus and lung in one performance: In all the patients, the bullae were on the same side of the operation. The esophageal or cardiac cancer was resected first, then the bulla was treated. The site of esophago-gastric anastomosis was reinforced by the greater omentum. For mid-upper esophageal cancer, cervical anastomosis was done in order to avoid infection or leakage. In the third patient, pyopneumothorax occurred after wedge resection of a large bulla in the right upper lung and the surrounding tissues. The patient survived after timely drainage and medical management. The extent of resection for pulmonary bulla (bulla, segment or lobe) depends on the location, shape, size and number of the bullae and the pathological change in the surrounding tissues. We suggest that the indications: Cardio-pulmonary functions of the patient be stage II or better, even with mild emphysema so as they can tolerate anesthesia and surgery. Pulmonary function can be compensated after the lesion is removed, otherwise it is taken as a contraindication. The one stage removal of two foci makes it possible to avoid postoperative complications.