Bell R C
Center for Advanced Endoscopic Surgery, 799 East Hampden, Suite 420, Englewood, CO 80110, USA.
Surg Endosc. 1997 May;11(5):476-8. doi: 10.1007/s004649900395.
Esophageal perforation following pneumatic dilation of the esophagus is normally recognized shortly after the event. Two patients with esophageal perforation were repaired utilizing a transabdominal laparoscopic technique with suture closure of the perforation, contralateral Heller myotomy, and Toupet posterior partial fundoplication. Patients recovered excellently, were started on liquids within 3 days of surgery, and were discharged shortly thereafter. Details of the procedure are presented. This minimally invasive approach is well tolerated and appropriate in selected patients.
食管气囊扩张术后的食管穿孔通常在事件发生后不久就能被识别。两名食管穿孔患者采用经腹腹腔镜技术进行修复，包括对穿孔进行缝合关闭、对侧赫勒肌切开术以及图佩特后部分胃底折叠术。患者恢复良好，术后3天内开始进流食，此后不久出院。文中介绍了该手术的详细情况。这种微创方法耐受性良好，适用于特定患者。
