Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Thoracoscopic Surgery for Esophageal Perforation and Achalasia - Two cases report -

흉강경을 이용한 식도천공과 이완불능증에 대한 수술 -2예 보고 -

  • Oh, Se-Jin (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Kim, Hyeong-Ryul (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Lim, Cheong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Park, Kay-Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Sung, Sook-Whan (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Jheon, Sang-Hoon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • 오세진 (서울대학교 의과대학 분당병원 흉부외과학교실) ;
  • 김형렬 (서울대학교 의과대학 분당병원 흉부외과학교실) ;
  • 임청 (서울대학교 의과대학 분당병원 흉부외과학교실) ;
  • 박계현 (서울대학교 의과대학 분당병원 흉부외과학교실) ;
  • 성숙환 (서울대학교 의과대학 분당병원 흉부외과학교실) ;
  • 전상훈 (서울대학교 의과대학 분당병원 흉부외과학교실)
  • Published : 2007.09.05
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Abstract

Esophageal perforation is relatively uncommon but it often cause fatal if not properly treated, and it is associated with high morbidity and mortality. We report here on two cases of esophageal perforation caused by Boerhaave syndrome or pneumatic dilatation for treating achalasia. The patients were successfully treated with thoracoscopic primary repair and esophagomyotomy.

식도천공은 비교적 드물지 않게 볼 수 있고 종종 치명적인 결과를 야기하므로 응급 수술을 필요로 한다. 식도 천공에 대한 수술은 개흉술을 통한 일차 봉합이 대부분이었으나 최근 들어 흉강경 수술 접근을 통해 동등한 결과를 보이고 있다. 뵈르하베 증후군 및 식도이완불능증에 대한 공기 확장술 중 발생한 식도천공 환자에 대해 흉강경을 이용한 일차 봉합술 및 근 절개술을 시행하여 좋은 결과를 보인 두 증례를 보고하는 바이다.

Keywords

References

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