Videothoracoscopic drainage for esophageal perforation with mediastinitis in children.

Autor: Peng, Li, Quan, Xu, Zongzheng, Ji, Ya, Gao, Xiansheng, Zhang, Yitao, Duan, Zhengtuan, Guo, Baijun, Zheng, Xinkui, Guo, Xuanlin, Wu
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Zdroj: Journal of Pediatric Surgery; Mar2006, Vol. 41 Issue 3, p514-517, 4p
Abstrakt: Abstract: Background: Esophageal perforation remains a devastating event that is difficult to diagnose and manage. The overall mortality associated with esophageal perforation can approach 20%, and delay in treatment of more than 24 hours after perforation can result in a doubling of mortality. The treatment option for esophageal perforation with mediastinitis is not very clear and still controversial. Methods: Between April 2000 and March 2004, 6 males and 2 females, with ages ranging from 2 to 6 years (mean, 3.8 years), underwent videothoracoscopic drainage for esophageal perforation with mediastinitis. Results: The mean hospital length of stay for patients in our series was 34.1 days (range, 14-47 days). There was no perioperative mortality. All patients were discharged from hospital without major sequelae. Conclusions: Minimally invasive videothoracoscopic drainage is a feasible and effective method for esophageal perforation with mediastinitis in children. [Copyright &y& Elsevier]
Databáze: Supplemental Index
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