Treatment of instrumental perforation of esophageal malignancy by transhiatal esophagectomy.
Publication/Presentation Date
8-1-1988
Abstract
Perforation of esophageal malignancy secondary to instrumentation is an uncommon but catastrophic complication. Esophageal perforation at the site of an obstructing esophageal malignancy precludes simple operative repair and mandates esophageal resection with reestablishment of gastro-intestinal tract continuity. In the past the standard surgical approach has involved transthoracic esophageal resection via thoracotomy. We have successfully treated four patients with perforated esophageal neoplasms by transhiatal esophagectomy and cervical esophagogastrostomy, thus avoiding thoracotomy in high-risk patients. We consider transhiatal esophagectomy an advantageous alternative in the management of selected cases of instrumental esophageal perforation adjacent to an esophageal malignancy.
Volume
123
Issue
8
First Page
1016
Last Page
1018
ISSN
0004-0010
Published In/Presented At
Yeo, C. J., Lillemoe, K. D., Klein, A. S., & Zinner, M. J. (1988). Treatment of instrumental perforation of esophageal malignancy by transhiatal esophagectomy. Archives of surgery (Chicago, Ill. : 1960), 123(8), 1016–1018. https://doi.org/10.1001/archsurg.1988.01400320102021
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
3395232
Department(s)
Administration and Leadership
Document Type
Article