Therapeutic effects of comprehensively minimally invasive surgical operation for esophageal rupture and review of related literature

Abstract

Objective To explore the therapeutic effects of comprehensively minimally invasive surgical operation for esophageal rupture. Methods From January 2013 to April 2016, 10 cases of esophageal rupture were diagnosed by chest X rays, chest CT scan, upper gastrointestinal contrast and gastroscopy in our department and clinical data were analyzed retrospectively, including 6 patients of spontaneous esophageal rupture, 1 patient of foreign body esophageal rupture and 1 patient of traumatic esophageal rupture. Among those patients, 7 cases were treated by stage Ⅰ VATS repair surgery and 1 case was treated by VATS gastroesophageal anastomosis of esophagus resection, which combined with surgical drainage and medicine cure, except 2 cases were treated by just only medicine cure. Mean surgical time was (255.6±19.4) min. Average intraoperative blood loss was (100.6±15.5) ml. The time of surgical drainage was (27.5±5.6) d and postoperative recovery time (43.7 ± 4.2) d. Results For all patients, a cure rate of 75.0%(6/8) was achieved by surgical operation. 1 case treated by VATS gastroesophageal anastomosis of esophagus resection was recovered and discharged from the hospital; among 7 cases who underwent stage Ⅰ VATS repair surgery, 1 case recovered, 1 case died of sudden cardiac arrest and another died of respiratory failure. Conclusions After evaluating condition of patients, comprehensively minimally invasive surgical operation for esophageal rupture is feasible, safe and effective, especially patient in end-stage treated by stage Ⅰ VATS repair surgery. Key words: Esophageal rupture; Minimally invasive; Traumatic esophageal rupture; Repair surgery