Videothoracoscopic drainage for esophageal perforation with mediastinitis in children |
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Authors: | Peng Li Quan Xu Zongzheng Ji Ya Gao Xiansheng Zhang Yitao Duan Zhengtuan Guo Baijun Zheng Xinkui Guo Xuanlin Wu |
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Institution: | a Department of Pediatric Surgery, the Second Hospital of Xi'an Jiaotong University, Xi'an 710004, China b Department of General Surgery, the Second Hospital of Xi'an Jiaotong University, Xi'an 710004, China |
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Abstract: | BackgroundEsophageal 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.MethodsBetween 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.ResultsThe 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.ConclusionsMinimally invasive videothoracoscopic drainage is a feasible and effective method for esophageal perforation with mediastinitis in children. |
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Keywords: | Esophageal perforation Mediastinitis Videothoracoscopic drainage Children |
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