de Csepel J, Jossart G, Salky B A
Department of Surgery, Mount Sinai School of Medicine, New York, NY, USA.
Surg Laparosc Endosc Percutan Tech. 2001 Apr;11(2):116-8.
Leiomyomas comprise fewer than 1% of esophageal neoplasms. Only 2% of leiomyomas are extraesophageal, and the remainder are intramural or intraluminal. A presumed intra-abdominal mass found at diagnostic laparoscopy was discovered to be an extraesophageal leiomyoma. Esophageal leiomyoma enucleation is most commonly accomplished via a thoracotomy. Increasingly, thoracoscopy has been used. An open transhiatal approach has also been described. Our patient underwent an uncomplicated transhiatal laparoscopic esophageal leiomyoma resection and benefited from the commonly recognized advantages associated with minimally invasive surgery.
平滑肌瘤占食管肿瘤的比例不到1%。只有2%的平滑肌瘤位于食管外，其余为壁内或腔内型。在诊断性腹腔镜检查时发现的一个推测为腹腔内肿块被证实是一个食管外平滑肌瘤。食管平滑肌瘤摘除术最常用的方法是开胸手术。越来越多地采用胸腔镜手术。也有人描述了经裂孔开放手术。我们的患者接受了无并发症的经裂孔腹腔镜食管平滑肌瘤切除术，并从微创手术公认的优势中获益。
