胸腔镜摘除术成功切除巨大食管脂肪瘤：一例报告

Successful removal of a giant esophageal lipoma by thoracoscopic enucleation: a case report.

作者信息

Goto Wataru, Sakurai Katsunobu, Kubo Naoshi, Tamamori Yutaka, Maeda Kiyoshi, Ohira Masaichi

机构信息

Department of Gastroenterological Surgery, Osaka City General Hospital, 2-13-22 Miyakojimahondori, Miyakojima-ku, Osaka, 534-0021, Japan.

Department of Surgical Oncology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, Japan.

出版信息

Surg Case Rep. 2020 Jan 13;6(1):20. doi: 10.1186/s40792-020-0782-7.

DOI:10.1186/s40792-020-0782-7

PMID:31932979

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6957579/

Abstract

BACKGROUND

We report a rare case of giant esophageal lipoma treated with thoracoscopic enucleation successfully.

CASE PRESENTATION

A 69-year-old woman was referred to our department with dysphagia. Computed tomography examination revealed a large hypoattenuating submucosal mass with dense fat in the middle and lower esophagus. Upper gastrointestinal endoscopy revealed a submucosal mass with normal mucosa on the middle and lower esophageal wall. On a diagnosis of esophageal lipoma, we performed a video-assisted thoracoscopic operation and the 14.0 × 6.5 × 3.0 cm in size submucosal tumor was completely enucleated. We could successfully avoid a subtotal esophagectomy with high invasiveness. The patient was discharged on the 36th day after operation, and no symptoms had been noted.

CONCLUSIONS

Video-assisted thoracoscopic enucleation with minimal invasiveness may be an appropriate treatment option even for such a huge benign esophageal submucosal tumor.

摘要

背景

我们报告了一例罕见的巨大食管脂肪瘤经胸腔镜摘除术成功治疗的病例。

病例介绍

一名69岁女性因吞咽困难转诊至我科。计算机断层扫描检查显示食管中下段有一个大的低密度黏膜下肿块，中间有致密脂肪。上消化道内镜检查显示食管中下段壁有一个黏膜下肿块，黏膜正常。诊断为食管脂肪瘤后，我们进行了电视辅助胸腔镜手术，成功摘除了大小为14.0×6.5×3.0厘米的黏膜下肿瘤。我们成功避免了具有高侵袭性的食管次全切除术。患者术后第36天出院，未出现任何症状。