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The algorithm we utilised to guide selection of patients for laparoscopic repair of acute oesophageal perforations. A laparoscopic repair is considered in a haemodynamically stable patient if computed tomography chest/upper abdomen suggests that the perforation is contained within the mediastinum, the perforation appears within 5 cm of the GOJ and the pleural effusion, if present, is serous in nature upon drainage. CT = computed tomography. GOJ = gastro-oesophageal junction
