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胸腔镜与腹腔镜联合切除食管平滑肌瘤

Thoracoscopic and Laparoscopic Enucleation of Esophageal Leiomyomas.

作者信息

Ben-David Kfir, Alvarez Juan, Rossidis Georgios, Desart Kenny, Caranasos Thomas, Hochwald Steven

机构信息

Department of Surgery, University of Florida, General Surgery, PO Box 100109, Gainesville, FL, 32610, USA,

出版信息

J Gastrointest Surg. 2015 Jul;19(7):1350-4. doi: 10.1007/s11605-015-2817-0. Epub 2015 Apr 14.

DOI:10.1007/s11605-015-2817-0
PMID:25868871
Abstract

Although infrequent, esophageal leiomyomas are the most common benign intramural tumors of the esophagus. As malignant potential is not a concern in these lesions, they represent ideal candidates for an organ-preserving approach. Due to their well-circumscribed growth, a minimally invasive approach should be pursued in almost all patients. We present our recent techniques and results associated with totally minimally invasive thoracoscopic and laparoscopic approaches to resection of esophageal leiomyomas. These approaches require technical expertise but can be accomplished with a short learning curve.

摘要

尽管食管平滑肌瘤并不常见,但却是食管最常见的良性壁内肿瘤。由于这些病变不存在恶性潜能问题,它们是采用保留器官方法的理想候选对象。因其生长边界清晰,几乎所有患者都应采用微创方法。我们介绍了与完全微创胸腔镜和腹腔镜切除食管平滑肌瘤相关的最新技术和结果。这些方法需要专业技术,但学习曲线较短,能够完成手术。

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本文引用的文献

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Partial oesophagectomy for giant leiomyoma of the oesophagus: report of 7 cases.食管巨大平滑肌瘤的部分食管切除术:7例报告
Eur J Cardiothorac Surg. 2015 Jan;47(1):143-5. doi: 10.1093/ejcts/ezu146. Epub 2014 Apr 6.
2
Thoracoscopic enucleation of esophageal submucosal tumor by prone position under artificial pneumothorax by CO2 insufflation.二氧化碳气腹人工气胸下俯卧位胸腔镜摘除食管黏膜下肿瘤
Surg Laparosc Endosc Percutan Tech. 2014 Apr;24(2):e55-8. doi: 10.1097/SLE.0b013e31828f71e3.
3
Enucleation of esophageal submucosal tumors: a single institution's experience.
人工气胸下单腔支气管封堵器与双腔支气管插管用于胸腔镜食管平滑肌瘤剥除术肺隔离的比较。
J Cardiothorac Surg. 2021 Oct 31;16(1):322. doi: 10.1186/s13019-021-01707-4.
4
Clinical outcomes in the surgical treatment of esophageal leiomyoma: A retrospective evaluation of 13 cases.食管平滑肌瘤手术治疗的临床结果:13例回顾性评估
Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Jul 28;28(3):505-513. doi: 10.5606/tgkdc.dergisi.2020.18889. eCollection 2020 Jul.
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A useful method to keep azygos arch in minimally invasive resection of esophageal leiomyoma.一种在食管平滑肌瘤微创切除术中保留奇静脉弓的有用方法。
J Thorac Dis. 2017 Nov;9(11):4589-4591. doi: 10.21037/jtd.2017.09.152.
食管黏膜下肿瘤剥除术:单中心经验。
Ann Thorac Surg. 2014 Feb;97(2):454-9. doi: 10.1016/j.athoracsur.2013.10.030. Epub 2013 Dec 17.
4
Robotic-assisted enucleation of a large lower esophageal leiomyoma and review of literature.机器人辅助下的巨大食管下段平滑肌瘤切除术及文献复习。
Int J Med Robot. 2013 Sep;9(3):253-7. doi: 10.1002/rcs.1484. Epub 2013 Feb 12.
5
Minimally invasive esophagectomy with cervical esophagogastric anastomosis.微创食管切除术加颈食管胃吻合术。
J Gastrointest Surg. 2012 Sep;16(9):1775-81. doi: 10.1007/s11605-012-1895-5. Epub 2012 May 2.
6
Endoscopic enucleation of large esophageal leiomyomas.内镜下切除大型食管平滑肌瘤
Gastrointest Endosc. 2011 Oct;74(4):928-31. doi: 10.1016/j.gie.2011.06.002.
7
Technique of minimally invasive Ivor Lewis esophagogastrectomy with intrathoracic stapled side-to-side anastomosis.微创 Ivor Lewis 食管胃切除术及胸内钉合侧侧吻合术技术。
J Gastrointest Surg. 2010 Oct;14(10):1613-8. doi: 10.1007/s11605-010-1244-5. Epub 2010 Jun 8.
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World J Surg Oncol. 2009 Dec 23;7:102. doi: 10.1186/1477-7819-7-102.
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Dis Esophagus. 2010 Jan;23(1):E1-4. doi: 10.1111/j.1442-2050.2008.00917.x. Epub 2009 Jan 9.
10
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Endoscopy. 2007 Dec;39(12):1097-9. doi: 10.1055/s-2007-966928.