Department of Thoracic Surgery, First Hospital of Tsinghua University, Beijing, China.
Ann Thorac Cardiovasc Surg. 2023 Jun 20;29(3):148-152. doi: 10.5761/atcs.cr.21-00213. Epub 2021 Dec 13.
Reconstruction of the esophagus with sternohyoid muscle after enucleation of the cervical esophageal leiomyosarcoma (ELS) was rarely reported.
A case of 55-year-old female with a large leiomyosarcoma in the cervical esophagus was reported. The tumor was enucleated, and the defect of the esophagus was patched with left sternohyoid muscle flap.
The patient recovered uneventfully after surgery. She has not had any discomfort with swallowing since surgery, and nowadays, there is not any recurrence and metastasis being detected.
It is minimal invasive and simple to enucleate the cervical ELS and patch the defect of esophagus with sternohyoid muscle flap. For some selected patients, this method may be a promising surgical procedure to achieve both good swallowing function and satisfying prognosis.
颈段食管平滑肌肉瘤（ELS）剜除术后应用胸锁乳突肌重建食管的报道较少。
报道了 1 例 55 岁女性患者，其颈段食管有一巨大平滑肌肉瘤。肿瘤被剜除，食管缺损用左胸锁乳突肌瓣修补。
患者术后恢复顺利。术后吞咽无不适，至今无复发和转移。
颈段 ELS 剜除并用胸锁乳突肌瓣修补食管缺损微创、简单。对于一些选择的患者，该方法可能是一种有前途的手术方法，既能获得良好的吞咽功能，又能获得满意的预后。
