Abstract
Objective To investigate the effect of surgical treatment of spontaneous rupture of the esophagus in adults. Methods Sixty-six cases of spontaneous rupture of the esophagus in adults were treated by open chest exploration for esophageal rupture repair and thoracoscopy assisted drainage of empyema. Results The proportion of primary healing was 83.3% (55/66), and the proportion of postoperative leak was 12.1% (8/66). Eight cases of postoperative esophagus leakage were cured by active anti-inflammatory, thoracic drainage and support treatment. Two patients (3.0%) died of severe mediastinitis and sepsis. Conclusions Early diagnosis and careful treatment planning and implementation are the key to improve the prognosis of spontaneous rupture of esophagus. Surgical treatment is a safe and feasible procedure for primary repair of ruptures (early rupture, within 12 hours) or repair with pedicle muscle flap coverage (delayed rupture, more than 12 hours), which can be popularized. Key words: Surgical treatment; Early; Delayed; Spontaneous rupture of the esophagus in adults
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