Compean Steven D, Gaur Puja, Kim Min P
Department of Surgery, Houston Methodist Hospital, Houston, TX 77030, USA.
Department of Surgery, Houston Methodist Hospital, Houston, TX 77030, USA; Weill Cornell Medical College, Houston Methodist Hospital, Houston, TX 77030, USA.
Int J Surg Case Rep. 2014;5(12):1132-4. doi: 10.1016/j.ijscr.2014.11.003. Epub 2014 Nov 11.
Esophageal leiomyoma represents the most common benign esophageal tumor. Robot-assisted thoracoscopic surgery has provided ability to remove it successfully using a minimally invasive approach.
A 63-year old female with history of chronic chest pain presented with an esophageal mass on chest CT and endoscopic ultrasound. Robot-assisted surgery was performed using three robot arms, a camera and an assistant port. A 10cm leiomyoma was enucleated and removed through a 2cm myotomy. Completion endoscopy confirmed integrity of the esophagus. Patient's chest pain resolved postoperatively, and she was discharged on postoperative day 3.
Our case describes successful removal of the giant esophageal leiomyoma (10cm) by robot assisted minimally invasive resection through a 2cm myotomy.
Use of robot allows for removal of large esophageal leiomyoma. The improved dexterity and patient outcome offered by robot suggests its potential as the mainstay technique for giant esophageal leiomyoma removal.
食管平滑肌瘤是最常见的食管良性肿瘤。机器人辅助胸腔镜手术能够采用微创方法成功将其切除。
一名63岁有慢性胸痛病史的女性，胸部CT和内镜超声检查发现食管肿物。使用三个机器人手臂、一个摄像头和一个辅助端口进行机器人辅助手术。通过2厘米的肌切开术摘除并移除了一个10厘米的平滑肌瘤。完成内镜检查确认食管完整性。患者术后胸痛缓解，术后第3天出院。
我们的病例描述了通过2厘米肌切开术，机器人辅助微创切除成功摘除巨大食管平滑肌瘤（10厘米）。
使用机器人能够切除大型食管平滑肌瘤。机器人提供的更高灵活性和患者预后表明其作为摘除巨大食管平滑肌瘤的主要技术的潜力。
