Background. Treatment of patients with esophageal perforations remains a major problem in emergency surgery. The use of modern surgical approaches allows to minimize surgical trauma and improve treatment results.
Objective.To study the results of managing patients with esophageal perforations who underwent minimally invasive esophagectomy.
Material and methods. Results of treatment of 12 patients with esophageal perforations who underwent minimally invasive esophagectomy were analyzed. The inclusion criteria were the presence of esophageal perforation that required esophageal removal, and thoracoscopic surgery. This was a prospective, non-randomized study. A total of 9 (75%) men and 3 (25%) women were included. The average age was 72±7 years. The average Charlson comorbidity index was 6±2. The time from the moment of perforation to the operation in 8 patients was less than 6 hours, in 4 patients – from 6 to 24 hours.
Conclusion. It was determined that thoracoscopic esophagectomy is effective and feasible in patients with severe comorbidities. However, given the small number of observations, additional studies involving a larger number of patients are required.
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About the authors
- Aleksandr I. Babich, Cand. Med. Sc, Senior Researcher, Surgeon, orcid.org/0000-0003-2734-0964;
- Andrey E. Demko, Dr. Med. Sc., Professor, Deputy Chief Physician, orcid.org/0000-0002-5606-288X