Immediate Esophagectomy for Instrumental Perforation of the Thoracic Esophagus

Outcomes after oesophageal perforation: a retrospective cohort study of patients with different aetiologies

“…26 Singlestage oesophageal resection and reconstruction was first reported by Hendren and Henderson in 1968. 27 Altorjay et al 28 reported a hospital mortality rate of 3.7% in a series of patients undergoing oesophagectomy for intrathoracic perforation; in this series iatrogenic perforation represented 55.6% of all perforations. Some surgeons have opined that oesophagectomy may be superior to primary repair in the presence of pre-existing oesophageal disease and of extensive perforation with substantial sepsis, while the general condition of the patient should always be taken into account.…”

Management of post dilatation oesophageal perforation: an experience from a tertiary centre

“…We prefer transhiatal resection because postoperative pulmonary complications are minimal, as most of our patients have compromised lung function and nutrition. The concept of one stage oesophageal resection and reconstruction was initially described by Hendren and Henderson [14]. In the present series 3 patients underwent transhiatal oesophageal resection with cervical oesophagogastric anastomosis in 3 patients with mortality rate of 20%.We attempted immediate reconstruction since the patients general condition was well preserved and with no signifi cant sepsis.…”

Esophageal Injuries

“…Minimal plevral ve mediastinal kontaminasyon olduğunda transhiatal özofajektomi başarı sağlayabilir. Diğer tedavilere dirençli kronik perforasyonlu hastalarda mediastinum ve plevral kavitenin yeterli debridmanı veya güvenli diseksiyon yapmak için transtorasik yaklaşım gerekebilir (69,70 …”