BACKGROUND Oesophageal perforation is a life-threatening condition that requires urgent intervention. Surgical repair is recommended within 24 h of onset to minimise mortality risk, traditionally via an open thoracotomy or a laparotomy. Primary oesophageal repair via a laparoscopic trans-hiatal approach has been seldomly reported due to concerns of inadequate eradication of soilage in the mediastinum and pleural space, as well as poor access and an increased operative time in an unwell population. CASE PRESENTATION We report a case series of 3 oesophageal and junctional perforations with varying presentations, demonstrating how the laparoscopic trans-hiatal approach can be used successfully to manage oesophageal perforations. CONCLUSIONS Laparoscopic trans-hiatal repair is an attractive option for oesophageal and junctional perforations, in haemodynamically stable surgical candidates, in the absence of gross contamination of the thoracic cavity.

中文翻译：

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经食管和结节穿孔的经孔修复：一个病例系列。

背景技术食管穿孔是危及生命的疾病，需要紧急干预。建议在发病后24小时内进行手术修复，以最大程度地降低死亡风险，传统上是通过开放式开胸手术或剖腹手术进行。由于担心根除纵隔和胸膜间隙的污垢不充分，以及通行不畅和手术时间增加等问题，很少有人报道采用腹腔镜经食管裂孔术进行食管的初步修复。病例介绍我们报告了一系列3例食管和交界处穿孔的病例，表现各异，这说明了如何成功地使用腹腔镜经食管穿刺入路处理食管穿孔。结论腹腔镜经肝孔裂孔修补术是食管和交界处穿孔的一种有吸引力的选择，