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

J Minim Access Surg 2017 Jan-Mar;13(1):69-72

Department of General Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.

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.

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Source
http://dx.doi.org/10.4103/0972-9941.181760DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5206845PMC
June 2016
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