Xiong Ying, Hu Haiqing, Gao Ying, Linghu Enqiang, Wang Xiangdong, Wang Aimin
Department of Gastroenterology, PLA General Hospital, Beijing 100853, China.
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Zhonghua Yi Xue Za Zhi. 2014 Dec 16;94(46):3655-7.
To summarize the experiences of resecting cardiac muscularis propria benign tumors though esophageal submucosal tunnel and examine the occurrence rate of complications.
A total of 17 cases of cardiac muscularis propria benign tumor as diagnosed by endoscopy and endoscopic ultrasonography underwent endoscopic submucosal tunnel dissection from January 2012 to October 2013. And the appearances of lesions and the operative complications were recorded and analyzed.
All lesions were successfully resected with a mean diameter of 1.6 (0.8-3.5) cm. There was no recurrence. The mean operative duration was 43 (26-105) min. The appearances of lesions were regular (n = 5) and irregular (n = 12). There was no instance of severe bleeding or perforation. Resection of muscularis propria was performed for 3 cases. The complications included pneumoderm (n = 3) and pneumoperitoneum (n = 3). All the above cases were discharged after conservative treatment.
Endoscopic submucosal tunnel dissection is safe, reliable, convenient and fast for cardiac muscularis propria tumors method.
总结经食管黏膜下隧道切除贲门固有肌层良性肿瘤的经验并观察并发症发生率。
2012年1月至2013年10月，对17例经内镜及超声内镜诊断为贲门固有肌层良性肿瘤的患者行内镜黏膜下隧道剥离术，记录病变情况及手术并发症并进行分析。
所有病变均成功切除，平均直径1.6（0.8 - 3.5）cm，无复发。平均手术时间43（26 - 105）分钟。病变形态规则者5例，不规则者12例。无严重出血及穿孔病例。3例行固有肌层切除。并发症包括皮下气肿3例、气腹3例。上述病例经保守治疗后均出院。
内镜黏膜下隧道剥离术治疗贲门固有肌层肿瘤安全、可靠、简便、快捷。
