ESOPHAGEAL RESECTION AFTER INSTRUMENTAL PERFORATION

被引：7

作者：

GRIFFIN, SC ^{[1
]}

DESAI, J ^{[1
]}

TOWNSEND, ER ^{[1
]}

FOUNTAIN, SW ^{[1
]}

机构：

[1] HAREFIELD HOSP,DEPT THORAC SURG,HAREFIELD UB9 6JH,MIDDX,ENGLAND

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1990年 / 4卷 / 04期

关键词：

Endoscopic oesophageal perforation; Mortality; Resection;

D O I：

10.1016/1010-7940(90)90007-M

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Between 1981 and 1987, 11 patients underwent oesophageal resection following endoscopic perforation of the oesophagus. They had a median age of 67 years with a range of 36 to 88 years. They all were managed either byone- or two-stage oesophageal resections. Six patients were perforated at other hospitals, 5 on site. Seven had carcinoma of the middle or lower third of the oesophagus, 2 of these were perforated at attempted palliative intubation. Four had benign peptic strictures perforated during dilatation. Seven were resected within the first 24 hours and 4 between 2 and 10 days after perforation. All 4 patients with benign disease survived but 4 of the 7 patients with cancer died giving an operative mortality of 36.3%. Respiratory complications were the most common postoperative problem: all deaths were attributed to respiratory failure. Perforation of the thoracic oesophagus carries a high mortality. Resection after perforation in benign strictures may be life saving in a potentially lethal condition but resection after perforation, even in operable cancer, still carries a high mortality. © Springer-Verlag.

引用

页码：211 / 213

页数：3

共 19 条

[1]

Barret N.R., Report of the case of spontaneous perforation of the oesophagus successfully treated by operation, Br J Surg, 35, pp. 216-218, (1947)

[2]

Belsey R., Reconstruction of the oesophagus with left colon, J Thorac Cardiovasc Surg, 49, pp. 33-55, (1965)

[3]

Bladergroen M.R., Lowe J.E., Postlewaite R.W., Diagnosis and recommended management of oesophageal perforation and rupture, Ann Thorac Surg, 42, pp. 235-239, (1986)

[4]

Brewer L.A., Carter R., Mulder G.A., Stiles Q.R., Options in the management of perforation of the oesophagus, Am J Surg, 152, pp. 64-69, (1986)

[5]

Griffin S.C., Desai J., Charlton M., Townsend E.R., Fountain S.W., Factors influencing morbidity and mortality following oesophageal resection, Eur J Cardio-thorac Surg, 3, pp. 419-424, (1989)

[6]

Hendren W.H., Bruce M., Henderson M.B., Immediate esophagectomy for instrumental perforation of the thoracic esophagus, Ann Surg, 166, pp. 998-1003, (1968)

[7]

Keen G., The surgical management of old oesophageal perforation, J Thorac Cardiovasc Surg, 56, pp. 603-606, (1968)

[8]

Lewis I., The surgical treatment of carcinoma of the oesophagus, with a special reference to a new operation for growth of the middle third, Br J Surg, 34, pp. 18-30, (1947)

[9]

Logan A., The surgical treatment of carcinoma of the oesophagus and cardia, J Thorac Cardiovasc Surg, 46, pp. 150-161, (1963)

[10]

Mathews H.R., Mitchel I.M., McGuigan J.A., Emergency subtotal oesophagectomy, Br J Surg, 76, pp. 918-920, (1989)

← 1 2 →