电视辅助胸腔镜下食管肌层切开术治疗肺叶切除术后贲门失弛缓症

Video-assisted thoracoscopic esophagomyotomy for achalasia after pulmonary lobectomy.

作者信息

Mikami K, Kawahara K, Maruyama R, Ueda H, Shirakusa T, Motohiro A

机构信息

Department of Surgery, National Minami Chest Hospital, Fukuoka, Japan.

出版信息

Jpn J Thorac Cardiovasc Surg. 1999 Nov;47(11):577-81. doi: 10.1007/BF03218067.

DOI:10.1007/BF03218067

PMID:10614101

Abstract

A 52-year-old man developed achalasia and a lung abscess due to aspiration pneumonia. We conducted a right upper lobectomy by thoracotomy for the abscess and, 2 weeks later, video-assisted thoracoscopic myotomy and fundoplication (modified Belsey Mark IV procedure) though the left thorax for achalasia. Three months after surgery, the patient was free of dysphasia and chest pain and had regained his original weight. Esophageal myotomy and fundoplication using video-assisted thoracoscopy appear to be feasible in treating achalasia involving impaired pulmonary function.

摘要

一名52岁男性因吸入性肺炎并发贲门失弛缓症和肺脓肿。我们通过开胸手术对脓肿进行了右上叶切除术，2周后，通过左侧胸腔镜进行了贲门肌切开术和胃底折叠术（改良Belsey Mark IV手术）以治疗贲门失弛缓症。术后三个月，患者吞咽困难和胸痛症状消失，体重恢复至术前水平。对于合并肺功能受损的贲门失弛缓症患者，应用电视辅助胸腔镜进行食管肌切开术和胃底折叠术似乎是可行的。