How Cheng-Hung, Lee Jang-Ming
Division of Thoracic Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, 7, Chung-Shan South Road, Taipei, 10002, Taiwan.
J Robot Surg. 2017 Jun;11(2):267-269. doi: 10.1007/s11701-016-0668-7. Epub 2016 Dec 22.
An 87-year-old man, who had been experiencing progressive dysphagia and slight chest discomfort for 12 months, presented for an esophagram with a diagnosis of achalasia. A giant esophageal lipoma (14.5- × 4.5- × 3.5-cm) that caused symptomatic dysphagia and a dilated esophagus was revealed by computed tomography and endoscopic esophageal ultrasound. For such a huge esophageal lipoma in a geriatric patient, we successfully enucleated the mediastinal lesion via a minimally invasive approach using the da Vinci S Surgical System.
一名87岁男性，12个月来一直进行性吞咽困难并伴有轻微胸部不适，因贲门失弛缓症诊断前来行食管造影检查。计算机断层扫描和内镜超声检查发现一个巨大的食管脂肪瘤（14.5×4.5×3.5厘米），导致症状性吞咽困难和食管扩张。对于一名老年患者的如此巨大的食管脂肪瘤，我们使用达芬奇S手术系统通过微创方法成功摘除了纵隔病变。
