Seven Year Prognosis and Surgical Techniques of Thoracic Esophageal Perforation Treatment

سال انتشار: 1403
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 148

فایل این مقاله در 10 صفحه با فرمت PDF قابل دریافت می باشد

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این مقاله:

شناسه ملی سند علمی:

JR_EJCMPR-3-3_001

تاریخ نمایه سازی: 27 خرداد 1403

چکیده مقاله:

Introduction: Over the past few decades, advances in surgical techniques and perioperative management have led to improvements in the prognosis of thoracic esophageal perforation. However, the optimal treatment approach remains controversial, with various surgical techniques available and differing outcomes reported in the literatureMaterial and Methods: Data collection was conducted by reviewing electronic medical records, surgical databases, and pathology reports to extract relevant information on patient demographics, clinical characteristics, preoperative evaluations, surgical techniques, intraoperative findings, postoperative outcomes, and long-term prognosis. Data on surgical techniques utilized in the treatment of thoracic esophageal perforation were meticulously documented.Results: Surgical management was performed in all ۸۰ patients, with various surgical techniques employed based on the extent and severity of esophageal injury. Primary repair of the esophageal perforation was performed in ۴۵ patients (۵۶.۳%), esophageal diversion with cervical esophagostomy in ۲۵ patients (۳۱.۳%), and esophagectomy with reconstruction in ۱۰ patients (۱۲.۵%). The choice of surgical technique was guided by the surgeon's preference, extent of esophageal injury, and presence of associated comorbidities.Conclusion: Our study provides valuable insights into the seven-year prognosis and outcomes of surgical techniques used in the treatment of thoracic esophageal perforation. Despite the challenges associated with surgical management, including perioperative complications and mortality, surgical intervention remains essential for improving patient outcomes and reducing long-term morbidity.

نویسندگان

Mahla Effati

General Doctor, Department of Cardiovascular Surgery, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

Majid Montazer Bavil Olyaee

Associate Professor of Thoracic Surgery, Department of Cardiovascular Surgery, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran