Dapri G, Dumont H, Roman A, Stevens E, Himpens J, Cadiere G B
European School of Laparoscopic Surgery, Department of Gastrointestinal Surgery Saint-Pierre University Hospital, Brussels, Belgium.
Minerva Chir. 2008 Jun;63(3):237-40.
Boerhaave's syndrome or postemetic rupture of the esophagus, carries a high morbidity and mortality. The authors report a delayed Boerhaave's syndrome diagnosis (3 days), successfully treated by right thoracoscopic debridement in prone position. Thanks to gravity the cardiopulmonary bloc drops back and the access to the esophagus is direct allowing for accurate placement of the chest tubes near the perforation. The procedure is completed by laparoscopic placement of a feeding jejunostomy with the patient supine.
博雷尔哈夫综合征或呕吐后食管破裂，具有较高的发病率和死亡率。作者报告了一例延迟诊断（3天）的博雷尔哈夫综合征，通过右侧胸腔镜在俯卧位清创成功治疗。由于重力作用，心肺阻断回落，可直接进入食管，便于将胸管准确放置在穿孔附近。该手术通过在患者仰卧位时腹腔镜放置空肠造口喂养管完成。
