초록접수 현황
| 16F-067 | 구연 발표 |
Thoracoscopic Surgery for Esophageal Perforation by Ingested Foreign Body
Jeong Su Cho, Hyo Yeong Ahn, Yeong Dae Kim, Hoseok I, Jonggeun Lee, Jinseok Choi, Joohyung Son
Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University College of Medicine, Busan, Korea
Background : It is not nice to do thoracoscopic surgery for finding site of esophageal perforation by small and sharp foreign body and removing it, because it is not easy and additional injury would be occurred. So we investigated medical records of our patients and analyzed surgical outcomes to identify feasibility and efficacy of thoracoscopic surgery for esophageal perforation due to foreign body.
Methods : From January 2006 to March 2016, 21 patients underwent operation due to esophageal perforation by foreign body. Male patients were 14, the mean age was 62.6 years old [range 53, 86]. Their medical records were reviewed; demographic factors, a kind of foreign body, past history, interval between symptom onset and operation, perforation site, operative methods, complications, mortality, etc. Patients were classified to two groups according to surgical approach (Group A: thoracoscopic surgery, Group B: thoracotomy). In gourp A, localization of foreign body essentially was performed through chest computed tomography or endoscopy before operation.
Results : There was no significant difference of age, sex, underlying DM, foreign body, mediastinal abscess, interval of symptom and operation, operative time, and postoperative complications between two groups, however, operative time was relatively shorter in group A (p=0.07). And, hospitalization was significantly shorter in group A (p=0.03). There was no case of conversion to thoracotomy in group A. There was one case of mortality in Group B.
Conclusion : This study suggests that thoracoscopic surgery for esophageal perforation due to foreign body might be a good option although there are some limitations such as small number of enrolled patients, retrospective study, selection bias of surgical approaches according to patients’ condition, and so on.
Methods : From January 2006 to March 2016, 21 patients underwent operation due to esophageal perforation by foreign body. Male patients were 14, the mean age was 62.6 years old [range 53, 86]. Their medical records were reviewed; demographic factors, a kind of foreign body, past history, interval between symptom onset and operation, perforation site, operative methods, complications, mortality, etc. Patients were classified to two groups according to surgical approach (Group A: thoracoscopic surgery, Group B: thoracotomy). In gourp A, localization of foreign body essentially was performed through chest computed tomography or endoscopy before operation.
Results : There was no significant difference of age, sex, underlying DM, foreign body, mediastinal abscess, interval of symptom and operation, operative time, and postoperative complications between two groups, however, operative time was relatively shorter in group A (p=0.07). And, hospitalization was significantly shorter in group A (p=0.03). There was no case of conversion to thoracotomy in group A. There was one case of mortality in Group B.
Conclusion : This study suggests that thoracoscopic surgery for esophageal perforation due to foreign body might be a good option although there are some limitations such as small number of enrolled patients, retrospective study, selection bias of surgical approaches according to patients’ condition, and so on.
책임저자: Jeong Su Cho
Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University College of Medicine, Busan, Korea
발표자: Jeong Su Cho, E-mail : drmozart@hanmail.net