Thoracoscopic esophageal repair with barbed suture material in a case of Boerhaave's syndrome

Toru Nakano, Chiaki Sato, Tadashi Sakurai, Kurodo Kamiya, Takashi Kamei, Noriaki Ohuchi

研究成果: Article査読

2 被引用数 (Scopus)

抄録

A 53-year-old man was referred to our hospital with Boerhaave's syndrome. Thirty hours after onset, a left thoracoscopic operation was performed, with carbon dioxide pneumothorax and the patient in right semi-prone position. The thoracic cavity was copiously irrigated with physiological saline and a 4-cm longitudinal rupture was identified on the left side of the lower esophagus. The esophageal injury was repaired in 2 layers by using barbed absorbable suture material. The patient was allowed oral feeds after contrast esophagography confirmed the absence of contrast leak at the sutured site on postoperative day 7, and discharged by day 28. Suturing of the ruptured esophagus under thoracoscopic guidance is considered to be difficult and requires expertise. This case report demonstrates that the use of a barbed suture material simplifies thoracoscopic esophageal repair and also highlights the importance of pneumothorax and patient position in improving access to the esophagus.

本文言語English
ページ(範囲)E1576-E1580
ジャーナルJournal of Thoracic Disease
8
12
DOI
出版ステータスPublished - 2016

ASJC Scopus subject areas

  • 呼吸器内科

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