An unusual approach for the treatment of oesophageal perforation: Laparoscopic-endoscopic cooperative surgery

Abstract

Boerhaave syndrome describes a transmural oesophageal rupture that develops following a spontaneous, sudden intraluminal pressure increase (i.e. vomiting, cough). It has a high rate of mortality and morbidity because of its proximity to the mediastinum and pleura. Perforation localisation and treatment initiation time affect the morbidity and mortality. In this article, we aim to present our successful laparoscopic-endoscopic cooperative surgery in a 59-year-old female who was referred to our clinic with a diagnosis of spontaneous lower oesophageal perforation. Laparoscopy and a simultaneous oesophageal stent application may be assumed as an effective alternative to conventional surgical approaches in cases of spontaneous lower oesophageal perforation.

Successful conservative treatment of spontaneous intrathoracic esophageal perforation using a temporary covered esophageal stent with a check valve: a case report

“…Vogel et al reported an overall survival rate of 96% in 47 patients with esophageal perforation and emphasized that the aggressive treatment of sepsis and pleural fluid collection can prevent the need for major surgery [19]. In addition, the efficiency of self-expanding esophageal stents, such as the HANAROSTENT and SX-ELLA esophageal stents (ELLA-CS, Hradec Kralove, Czech Republic), in blocking the site of leakage has been reported, suggesting that they might help control sepsis and reduce mortality and morbidity [9, 21, 22]. Dasari et al reported a technical success rate of stent placement of 91.4% and a healing rate of 81% [9].…”

Синдром Бурхаве В Практике Хирурга: Реалии И Перспективы

“…В опубликованных клинических наблюдениях последних десяти лет эндоскопические операции выполнены 7 пациентам (24,1%): стентирование -n=3 [8,25,32], клипирование -n=1 [42], эндоскопическое наложение заплаты из полигликоевой кислоты -n=2 [36] и T-образное дренирование разрыва -n=1 [30].…”