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首页> 外文期刊>Esophagus >Thoracoscopic esophagectomy in the prone position for corrosive stricture after esophageal perforation due to balloon dilatation
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Thoracoscopic esophagectomy in the prone position for corrosive stricture after esophageal perforation due to balloon dilatation

机译：球囊扩张导致食管穿孔后，俯卧位胸腔镜食管切除术可导致腐蚀狭窄

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An 18-year-old man was referred to our hospital because of chest pain after ingestion of a strong hydroxide in an attempted suicide. On post-ingestion day 25, an esophageal endoscopy and esophagram revealed at least three strictures, one each in the cervical, upper, and lower thoracic esophagus. In particular, the upper thoracic esophageal stricture was severe and was 5 cm long. Repeated balloon dilatation was employed, but resulted in perforation of the upper thoracic esophagus on the fourth attempt. On post-ingestion day 95, thoracoscopic esophagectomy in the prone position was performed. The esophagus was reconstructed using a subtotal gastric tube and cervical esophagogastric anastomosis in the supine position. Although the periesophageal adhesions were severe, esophagectomy was successfully performed. Anastomotic leakage developed after surgery, but the patient was discharged on postoperative day 47 on a regular diet.
机译：一名企图自杀的人摄入强氢氧化物后因胸痛而被送往我们医院的一名18岁男子。食管注射后第25天，食道内窥镜检查和食管造影检查显示至少有3个狭窄处，分别在颈，上和下胸部食管处狭窄。特别是，胸腔食管狭窄严重，长度为5厘米。反复进行球囊扩张术，但在第四次尝试中导致了上胸食管穿孔。注射后第95天，在俯卧位进行胸腔镜食管切除术。食管采用胃小管切开术并在仰卧位进行食管胃吻合术。尽管食管周围粘连严重，但成功进行了食管切除术。手术后发生吻合口漏，但患者在术后第47天按常规饮食出院。

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