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Year 2010 Vol. 18 No 1

GENERAL AND SPECIAL SURGERY

A.M. SHESTIUK

PRESENT-DAY APPROACHES TO THE TREATMENT OF THE ESOPHAGUS THORACIC REGION DAMAGES

Esophageal perforation is associated with high mortality rate and low chances of early diagnostics. The article describes the esophageal perforation treatment results for 8 patients when it was diagnosed late. Tactical approaches used to diagnose and treat the patients are detailed. The primary method for diagnosing was СT-ray. In case of 5 patients, а minimal invasive technology – video assisted thoracoscopy was used for the treatment. Thoracoscopic drainage of the esophageal rupture was performed using the patented method developed by the author as well as thoracoscopic posterior mediastinotomy and thoracoscopic drainage of the mediastinal abscess were performed for the treatment. No lethal cases were registered among the group of patients treated with thoracoscopy.

Keywords: esophagus, perforation, video assisted thoracoscopy
p. 30 – 36 of the original issue
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