Radovanović N, Knezević J, Randelović T, Simić A, Gerzić Z
Institut za bolesti digestivnog sistema KCS I hirurska klinika za digestivnu hirurgiju, Beograd.
Acta Chir Iugosl. 1994;41(2 Suppl 2):233-4.
Perforations of the esophagus are the serious problem and only promptly diagnosis and treatment with effective operation can change the fatal destiny of this patients. The most effective operations of early diagnosed perforations are the primar suture with buttresses with circumferential wrap of parietal pleura. Authors discuss 15 patients with perforations of thoracic esophagus. In six patients the perforation was only sutured, and in nine patients the suture line was buttressed with Grillo pleural wrap. In this group one patient had a leak at the suture line and died after reoperation. This data indicate that the pleural wrap should be used routinely.
食管穿孔是一个严重的问题，只有及时诊断并进行有效的手术治疗，才能改变这类患者的致命结局。早期诊断出的穿孔最有效的手术方式是采用带壁层胸膜环形包裹的支撑物进行一期缝合。作者讨论了15例胸段食管穿孔患者。其中6例仅进行了穿孔缝合，9例在缝合线处采用了Grillo胸膜包裹进行支撑。该组中有1例患者缝合线处发生渗漏，再次手术后死亡。这些数据表明应常规使用胸膜包裹。
