Lyons W S, Seremetis M G, deGuzman V C, Peabody J W
Ann Thorac Surg. 1978 Apr;25(4):346-50. doi: 10.1016/s0003-4975(10)63554-0.
A series of 31 patients treated for ruptures and perforations of the intrathoracic esophagus is reviewed. Eighteen of these patients underwent major thoracotomy; 11 were treated with minor procedures. Two died before treatment could be implemented. Of the 18 undergoing major operations, 7 died; among the 11 managed conservatively there was only 1 death. Based on this experience, we conclude that major surgical repair for esophageal perforation is often unnecessary. It has the additional drawback of sometimes resulting in equally serious secondary procedures.
回顾了一组31例接受胸段食管破裂和穿孔治疗的患者。其中18例患者接受了开胸大手术；11例采用小手术治疗。2例在实施治疗前死亡。在接受大手术的18例患者中，7例死亡；在11例采取保守治疗的患者中，仅1例死亡。基于这一经验，我们得出结论，食管穿孔的开胸大手术修复往往没有必要。它还有一个额外的缺点，即有时会导致同样严重的二次手术。
