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Two emergency cases of spontaneous esophageal perforation treated using a minimally invasive abdominal and left thoracic approach.

Abstract

Boerhaave's syndrome is a rare life-threatening disease that requires prompt intervention. Thoracotomy has traditionally been considered the gold standard approach for treatment, but other minimally invasive approaches have recently been reported. Our institute reported the efficacy of minimally invasive abdominal and left thoracic approach in the treatment of patients with esophagogastric junction cancer and introduced it for the treatment of two patients with Boerhaave's syndrome. We intraoperatively sutured the rupture sites and irrigated the pleural cavity using thoracoscopy. Then, after confirming the absence of intraabdominal contamination, we performed jejunostomy or gastrostomy using laparoscopy. Patients' vital signs remained stable intraoperatively, and their postoperative periods were uneventful with no leakage or stricture. The minimally invasive abdominal and left thoracic approach for Boerhaave's syndrome is convenient and useful as it provides excellent visualization of the thoracic and abdominal cavities with the possibility of quickly switching between views.

Authors+Show Affiliations

Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31531935

Citation

Sekiya, Sho, et al. "Two Emergency Cases of Spontaneous Esophageal Perforation Treated Using a Minimally Invasive Abdominal and Left Thoracic Approach." Asian Journal of Endoscopic Surgery, 2019.
Sekiya S, Ebihara Y, Yamamura Y, et al. Two emergency cases of spontaneous esophageal perforation treated using a minimally invasive abdominal and left thoracic approach. Asian J Endosc Surg. 2019.
Sekiya, S., Ebihara, Y., Yamamura, Y., Tanaka, K., Nakanishi, Y., Asano, T., ... Hirano, S. (2019). Two emergency cases of spontaneous esophageal perforation treated using a minimally invasive abdominal and left thoracic approach. Asian Journal of Endoscopic Surgery, doi:10.1111/ases.12754.
Sekiya S, et al. Two Emergency Cases of Spontaneous Esophageal Perforation Treated Using a Minimally Invasive Abdominal and Left Thoracic Approach. Asian J Endosc Surg. 2019 Sep 17; PubMed PMID: 31531935.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Two emergency cases of spontaneous esophageal perforation treated using a minimally invasive abdominal and left thoracic approach. AU - Sekiya,Sho, AU - Ebihara,Yuma, AU - Yamamura,Yoshiyuki, AU - Tanaka,Kimitaka, AU - Nakanishi,Yoshitsugu, AU - Asano,Toshimichi, AU - Noji,Takehiro, AU - Kurashima,Yo, AU - Murakami,Soichi, AU - Nakamura,Toru, AU - Tsuchikawa,Takahiro, AU - Okamura,Keisuke, AU - Shichinohe,Toshiaki, AU - Hirano,Satoshi, Y1 - 2019/09/17/ PY - 2019/07/04/received PY - 2019/08/05/revised PY - 2019/08/16/accepted PY - 2019/9/19/entrez PY - 2019/9/19/pubmed PY - 2019/9/19/medline KW - laparoscopy KW - spontaneous esophageal perforation KW - thoracoscopy JF - Asian journal of endoscopic surgery JO - Asian J Endosc Surg N2 - Boerhaave's syndrome is a rare life-threatening disease that requires prompt intervention. Thoracotomy has traditionally been considered the gold standard approach for treatment, but other minimally invasive approaches have recently been reported. Our institute reported the efficacy of minimally invasive abdominal and left thoracic approach in the treatment of patients with esophagogastric junction cancer and introduced it for the treatment of two patients with Boerhaave's syndrome. We intraoperatively sutured the rupture sites and irrigated the pleural cavity using thoracoscopy. Then, after confirming the absence of intraabdominal contamination, we performed jejunostomy or gastrostomy using laparoscopy. Patients' vital signs remained stable intraoperatively, and their postoperative periods were uneventful with no leakage or stricture. The minimally invasive abdominal and left thoracic approach for Boerhaave's syndrome is convenient and useful as it provides excellent visualization of the thoracic and abdominal cavities with the possibility of quickly switching between views. SN - 1758-5910 UR - https://www.unboundmedicine.com/medline/citation/31531935/Two_emergency_cases_of_spontaneous_esophageal_perforation_treated_using_a_minimally_invasive_abdominal_and_left_thoracic_approach L2 - https://doi.org/10.1111/ases.12754 DB - PRIME DP - Unbound Medicine ER -