[电视辅助胸腔镜手术微创治疗食管平滑肌瘤]
[Mini-invasive treatment of esophageal leiomyoma by video-assisted thoracoscopic surgery].
作者信息
Chen Chun, Lin Ruo-Bai, Lin Pei-Qiu, Kang Ming-Qiang, Zheng Wei
机构信息
Department of Thoracic Surgery, Union Hospital, Fujian Medical Univercity, Fuzhou 350001, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2008 Dec 23;88(47):3359-61.
OBJECTIVE
To discuss the application value of video-assisted thoracoscopic surgery (VATS) in treatment of esophageal leiomyoma.
METHOD
Clinical data of patients with esophageal leiomyoma treated by VATS from January 1999 to August 2007 were analyzed.
RESULTS
VATS esophageal leiomyoma enucleations were performed successfully in 23 patients, and 18 patients of them were performed by pure VATS, 5 patients of them were performed with mini-thoracotomy. All the procedures of operations were completed smoothly without mortality and postoperative complications. 22 patients were pathologically diagnosed as esophageal leiomyoma after surgery (2 patients' leiomyoma came from muscularis mucosa). 1 patient was esophageal muscularis neurilemmoma.
CONCLUSION
VATS leiomyoma enucleations must be a routine operation while treat thoracic esophageal leiomyoma.
目的
探讨电视胸腔镜手术（VATS）在食管平滑肌瘤治疗中的应用价值。
方法
分析1999年1月至2007年8月采用VATS治疗的食管平滑肌瘤患者的临床资料。
结果
23例患者成功行VATS食管平滑肌瘤摘除术，其中18例为单纯VATS手术，5例为胸腔镜辅助小切口手术。所有手术过程均顺利完成，无手术死亡及术后并发症。术后22例病理诊断为食管平滑肌瘤（2例平滑肌瘤起源于黏膜肌层）。1例为食管肌层神经鞘瘤。
结论
VATS平滑肌瘤摘除术应成为治疗胸段食管平滑肌瘤的常规手术。
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