Department of Gastroenterological surgery, Osaka City General Hospital, Osaka, Japan.
Department of Gastroenterological surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Asian J Endosc Surg. 2024 Jul;17(3):e13341. doi: 10.1111/ases.13341.
Esophageal duplication cysts are rare congenital noncancerous growths. Symptoms of this disease are reported to be asymptomatic in approximately 70% but include respiratory symptoms such as coughing and difficulty breathing. Minimally invasive removal of these cysts without esophagectomy is typically recommended. However, when the cyst is situated in the upper mediastinum, surgical excision becomes technically challenging. Here, we report a case of an obese female patient with esophageal duplication cyst in the upper mediastinum who underwent successfully robotic-assisted complete removal of the cyst. A 50-year-old woman presented to a local clinic with a persistent cough and hoarseness lasting 4 months. A computed tomography scan revealed a large cystic tumor in the upper mediastinum, causing displacement of the trachea. The resection of the cystic tumor was safely performed with robotic assistance. The use of robotic system for the removal of esophageal duplication cyst is technically safe and feasible.
食管重复囊肿是一种罕见的先天性非癌性生长物。据报道,这种疾病的症状约有 70%是无症状的,但包括咳嗽和呼吸困难等呼吸道症状。通常建议采用微创方法切除这些囊肿,而无需进行食管切除术。然而,当囊肿位于纵隔上部时,手术切除在技术上具有挑战性。在此,我们报告了一例肥胖的女性患者,其纵隔上部存在食管重复囊肿,成功地接受了机器人辅助下的囊肿完全切除。一位 50 岁女性因持续性咳嗽和声音嘶哑持续 4 个月就诊于当地诊所。计算机断层扫描显示纵隔上部有一个大的囊性肿瘤,导致气管移位。该囊性肿瘤的切除在机器人辅助下安全完成。使用机器人系统切除食管重复囊肿在技术上是安全可行的。