Open AccessAn unusual approach for the treatment of oesophageal perforation: Laparoscopic-endoscopic cooperative surgery
Author(s) -
Hacı Murat Çaycı,
Umut Eren Erdoğdu,
Evren Dilektaşlı,
Mehmet Akif Türkoğlu,
Deniz Fırat,
Hasan Çantay
Publication year - 2017
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/0972-9941.181760
Subject(s) - medicine , surgery , perforation , mediastinum , vomiting , laparoscopy , esophagus , endoscopy , mortality rate , materials science , punching , metallurgy
Boerhaave syndrome describes a transmural oesophageal rupture that develops following a spontaneous, sudden intraluminal pressure increase (i.e. vomiting, cough). It has a high rate of mortality and morbidity because of its proximity to the mediastinum and pleura. Perforation localisation and treatment initiation time affect the morbidity and mortality. In this article, we aim to present our successful laparoscopic-endoscopic cooperative surgery in a 59-year-old female who was referred to our clinic with a diagnosis of spontaneous lower oesophageal perforation. Laparoscopy and a simultaneous oesophageal stent application may be assumed as an effective alternative to conventional surgical approaches in cases of spontaneous lower oesophageal perforation.