Videothoracoscopic drainage for esophageal perforation with mediastinitis in children

Journal of Pediatric Surgery
Li PengWu Xuanlin

Abstract

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

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Citations

Apr 22, 2009·Pediatric Surgery International·Jeffrey W GanderRobert A Cowles
Jun 1, 2010·The Indian Journal of Surgery·Viraj Borgaonkar, Vijay Borgaonkar
Nov 18, 2014·Journal of Emergencies, Trauma, and Shock·Sara FuentesAndrés Gómez
Jun 10, 2015·The Journal of Surgical Research·Anthony J HeskethRichard D Glick
Sep 21, 2010·The Journal of Surgical Research·Carissa L GareyShawn D St Peter
Jun 23, 2009·Interactive Cardiovascular and Thoracic Surgery·Oskar RückbeilKlaus Gellert
Feb 2, 2018·Journal of Indian Association of Pediatric Surgeons·Shilpa SharmaSubodh Kumar
Oct 12, 2017·Revista do Colégio Brasileiro de Cirurgiões·Omar Moté Abou-MouradRossano Kepler Alvim Fiorelli
Jan 21, 2017·Journal of Pediatric Gastroenterology and Nutrition·Chantal ChauvetJérôme Viala

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