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. 2023 Sep 27;39(3):177–189. doi: 10.47717/turkjsurg.2023.5830

Table 2. Individual patient profile and treatment details.

Year Case No. Age/ Sex Type of intervention before referral Time of presentation (Early vs. Delayed) Location of perforation3 Perforation size Contained perforation (Yes/No) Site of pleural collection PPSS Details of primary intervention(s) Re-intervention
2005 1 67/M Non-referral Early Lower thoracic,
2 cm above GEJ
3 cm Yes None1 4 Laparotomy, trans-hiatal primary repair, omento­plasty and FJ Tube thoracostomy for left-sided pleural effu­sion1
2008 2 80/F Right-sided, tube thoracos­tomy Delayed Lower thoracic N/l No Right 10 Right thoracotomy, drainage, decortication and FJ None
  3 62/M Left-sided, tube thoracostomy Delayed Lower thoracic N/A Yes Left 3 Left-sided, tube tho­racostomy, gastrostomy and FJ None
2010 4 28/M Non-referral Delayed Lower thoracic N/A Yes Left 9 Left-sided, tube tho­racostomy, FJ None
2011 5 47/M Right thoracotomy, pleural drainage alone Delayed Lower thoracic N/M No Right 9 Right thoracotomy, drainage, decortication, esophageal stenting (FCSEMS) and FJ Stent migration ~^· endoscopic repositioning
  6 41/M Left-sided, tube thoracostomy Delayed Lower thoracic,
2 cm above GEJ
3 cm No Left 10 Laparotomy, trans-hiatal repair over aT-tube, left thoracotomy, drainage, decortication, gastrosto­my and FJ None
2012 7 61/M Non-referral Delayed Lower thoracic,
37-39 cm
2 cm No Left 6 Left-sided, tube tho­racostomy, esophageal stenting (FCSEMS), FJ None
2013 8 50/M Non-referral Delayed Lower thoracic 3 cm No Left 11 Laparotomy, trans-hiatal repair over aT-tube, left thoracotomy, drainage, decortication, gastrosto­my and FJ None
  9 47/M Non-referral Delayed Lower thoracic,
2 cm above the
GEJ
3 cm No Bilateral 12 Laparotomy, trans-hiatal primary repair, omento­plasty, bilateral thoraco­scopic drainage, gastros­tomy and FJ None
2014 10 55/M Right thoracot­omy, pleural drainage Delayed Lower thoracic,
34-36 cm
2 cm No Left 6 Left-side, tube thoracos­tomy, esophageal stent­ing (ECSEMS) and EJ Left-sided residual pleural collection ~^· image-guided drainage
2016 11 70/M Non-referral Delayed Lower thoracic, just above the GEJ 1 cm No Left 12 On-table endoscopy, left-thoracoscopic drain­age, decortication and EJC Post-op contrast study showed a leak —> stented (ECSEMS) stent migration -^· endoscopic repositioning
2018 12 37/F Non-referral Early Lower thoracic,
31-33 cm
2 cm No Right 8 On-table endoscopy, clipping of the perfora­tion, right-thoracoscopic drainage and EJ Persistent leak -^· stented (FCSEMS) stent migration -»endoscopic repositioning
PPSS: Pittsburgh perforation severity score, M: Male, F: Female, GEJ: Gastro-esophageal junction, FJ: Feeding jejunostomy, FCSEMS: Fully covered self-expanding metal stent, N/l: Not identified (The perforation is not identified intra-op), N/A: Not applicable (No endoscopy or esophageal surgery attempted; hence size of the perforation cannot be commented on), N/M: Not mentioned (Although perforation identified either in endoscopy or intra-op, its size was not mentioned).
a:The location of the perforation was identified using either radiological or endoscopic or intra-op assessment or their combination b: Pleural effusion developed following the primary intervention, but there was no evidence of a postoperative esophageal leak in the re-imaging c: On-table endoscopy showed an erosion in the lower thoracic esophagus, but the CT showed no obvious contrast leak and the perforation was not identified intra-op; hence stenting was not considered during the index operation.