Harrison M W, Lindell T D, Brant B
Am Surg. 1976 Jul;42(7):488-91.
The salvage of patients with late esophageal perforations is a formidable surgical undertaking. The basic objectives of surgical therapy should be: prompt debridement and control of sepsis by establishing an adequate, controlled route of decompression drainage, salvage of all viable and functional esophagus (except in massive disruptions with circumferential loss), adequate support of life control systems, and establishment of an appropriate alternate route for supportive alimentation. The method of treatment used in the group of patients reported here satisfies all these objectives. Our experience justifies further consideration of this technique in dealing with this catastrophic illness.
挽救晚期食管穿孔患者是一项艰巨的外科手术任务。外科治疗的基本目标应是：通过建立充分、可控的减压引流途径迅速清创并控制感染，挽救所有有活力和功能的食管（除了伴有环形组织缺失的大面积破裂情况），充分维持生命控制系统，以及建立合适的替代途径以提供营养支持。本文报道的患者组所采用的治疗方法满足了所有这些目标。我们的经验证明在处理这种灾难性疾病时进一步考虑这种技术是合理的。
