Videothoracoscopic drainage for esophageal perforation with mediastinitis in children

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• 作者：Li Peng ; Xu Quan ; Ji Zongzheng ; Gao Ya ; Zhang Xiansheng ; Duan Yitao ; Guo Zhengtuan ; Zheng Baijun ; Guo Xinkui ; Wu Xuanlin
• 刊名：Journal of Pediatric Surgery
• 出版年：2006
• 出版时间：March 2006
• 年：2006
• 卷：41
• 期：3
• 页码：514-517
• 全文大小：81 K

文摘

Esophageal perforation remains a devastating event that is difficult to diagnose and manage. The overall mortality associated with esophageal perforation can approach 20 % , and delay in treatment of more than 24 hours after perforation can result in a doubling of mortality. The treatment option for esophageal perforation with mediastinitis is not very clear and still controversial.

Methods

Between April 2000 and March 2004, 6 males and 2 females, with ages ranging from 2 to 6 years (mean, 3.8 years), underwent videothoracoscopic drainage for esophageal perforation with mediastinitis.

Results

The mean hospital length of stay for patients in our series was 34.1 days (range, 14-47 days). There was no perioperative mortality. All patients were discharged from hospital without major sequelae.

Conclusions

Minimally invasive videothoracoscopic drainage is a feasible and effective method for esophageal perforation with mediastinitis in children.