Original Article
Medicine
Mahla Effati; Majid Montazer Bavil Olyaee
Abstract
Introduction: Over the past few decades, advances in surgical techniques and perioperative management have led to improvements in the prognosis of thoracic esophageal perforation. However, the optimal treatment approach remains controversial, with various surgical techniques available and differing outcomes ...
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Introduction: Over the past few decades, advances in surgical techniques and perioperative management have led to improvements in the prognosis of thoracic esophageal perforation. However, the optimal treatment approach remains controversial, with various surgical techniques available and differing outcomes reported in the literatureMaterial and Methods: Data collection was conducted by reviewing electronic medical records, surgical databases, and pathology reports to extract relevant information on patient demographics, clinical characteristics, preoperative evaluations, surgical techniques, intraoperative findings, postoperative outcomes, and long-term prognosis. Data on surgical techniques utilized in the treatment of thoracic esophageal perforation were meticulously documented.Results: Surgical management was performed in all 80 patients, with various surgical techniques employed based on the extent and severity of esophageal injury. Primary repair of the esophageal perforation was performed in 45 patients (56.3%), esophageal diversion with cervical esophagostomy in 25 patients (31.3%), and esophagectomy with reconstruction in 10 patients (12.5%). The choice of surgical technique was guided by the surgeon's preference, extent of esophageal injury, and presence of associated comorbidities.Conclusion: Our study provides valuable insights into the seven-year prognosis and outcomes of surgical techniques used in the treatment of thoracic esophageal perforation. Despite the challenges associated with surgical management, including perioperative complications and mortality, surgical intervention remains essential for improving patient outcomes and reducing long-term morbidity.
