Staged operations strategy for delayed spontaneous rupture of esophagus with empyema
10.3760/cma.j.issn.1673-4203.2012.07.006
- VernacularTitle:分期手术治疗晚期自发性食管破裂并脓胸三例分析
- Author:
Wei WANG
;
Danqing FANG
- Publication Type:Journal Article
- Keywords:
Esophageal performation;
Rupture,spontaneous;
Empyema,pleural;
Surgical procedures,operative
- From:
International Journal of Surgery
2012;39(7):447-450
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo summarize the effect of staged operations strategy for delayed spontaneous rupture of esophagus with empyema.MethodsThree patients in the department of thoracic surgery of the second affiliated hospital of Guangzhou medical university underwent staged operative treatment for delayed spontaneous rupture of esophagus with empyema.The primary operative procedure consisted of removal of empyema sac,T-tube drainage and jejunostomies.The second operative procedure included alimentary reconstruction with thoracic esophageal resection and exclusion,or with esophageal resection and exclusion later.ResultsAll cases were cured with mean hospitalization of 78.7 days.None of them had any dysphagia at followup of 5-14 months.ConclusionDelayed spontaneous rupture of esophagus with empyema can be managed safely and effectively through staged operations strategy.
