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This research investigates the feasibility of a hybrid minimally invasive protocol for managing thoracic esophageal perforations.

Hybrid Minimally Invasive Management of Thoracic Esophageal Perforations: Technical Feasibility in Selected Patients

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This research investigates the feasibility of a hybrid minimally invasive protocol for managing thoracic esophageal perforations.
Combined thoracoscopy and endoscopy for perforation repair
Primary closure with direct suturing, lavage, and drainage when applicable
Endoscopic interventions for persistent leaks, including vacuum-assisted therapy and stent placement
Retrospective analysis of medical records for five patients
Four right-sided and one left-sided perforations observed
Three spontaneous and two iatrogenic perforations identified
Management initiated within 24 hours for three patients; two had delays beyond 48 hours
Persistent leaks occurred in three cases, but no fatalities reported
All patients achieved esophageal preservation and resumed oral intake by follow-up

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Retrospective review demonstrates effective management of thoracic esophageal perforations, suggesting a viable alternative for selected patients.

Chenevas-Paule et al. (2026) studied this question.

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Retrospective review demonstrates effective management of thoracic esophageal perforations, suggesting a viable alternative for selected patients.