547. THORACOLAPAROSCOPIC MANAGEMENT OF ESOPHAGEAL PERFORATIONS
| Autor: | Parthasarathi Ramakrishnan, Shankar Balasubramanian, Ramesh Natarajan, M Bharath Cumar, K Keerthiraj, Palanivelu Chinnusamy |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Diseases of the Esophagus. 35 |
| ISSN: | 1442-2050 1120-8694 |
| Popis: | Esophageal perforation carries a high morbidity and even mortality when not promptly treated. The rarity of the condition makes it challenging to diagnose and optimally manage it. We report our experience in managing such patients using minimally invasive approach. Six consecutive patients with esophageal perforation who were managed using thoracoscopic or laparoscopic approach between 2015 and 2022 were included in the study. The underlying etiology was spontaneous perforation in two patients, swallowed denture in two patients, ingested meat bone in one patient and iatrogenic perforation in one patient. The mean time between diagnosis and surgery was 48 hours. After mediastinal toileting the perforation was sutured with PDS 2-0. Covered metal stent was placed and fixed using PDS 2-0. The mean operating time was 180 minutes. The mean ICU stay was 2 days and the mean hospital stay was 10 days. Stent migration was seen in two patients which were retrieved laparoscopically. There was no in-hospital or 90- day mortality. Esophageal perforations can be safely managed by minimally invasive approaches with acceptable morbidity in selected patients in high volume centres. |
| Databáze: | OpenAIRE |
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