Mafune K, Tanaka Y
Department of Surgery, Saitama Cancer Center, Ina, Japan.
Surg Today. 1997;27(2):189-92. doi: 10.1007/BF02385915.
In consideration of the fact that procedures performed thoracoscopically cause less operative trauma and postoperative pain than those performed through an open thoracotomy, we believe that thoracoscopy should replace thoracotomy for the extraluminal transthoracic resection of benign esophageal tumors. We describe herein a new videothoracoscopic technique for performing the enucleation of an esophageal leiomyoma with balloon dilator assistance. The use of the balloon dilator facilitates separation of the tumor from both the mucosal and muscular layers of the esophagus, and may help to prevent perforation.
考虑到与开胸手术相比，胸腔镜手术造成的手术创伤和术后疼痛更小，我们认为胸腔镜手术应取代开胸手术用于良性食管肿瘤的胸外经胸切除术。在此，我们描述一种在球囊扩张器辅助下进行食管平滑肌瘤摘除术的新型电视胸腔镜技术。球囊扩张器的使用有助于将肿瘤与食管的黏膜层和肌层分离，并可能有助于防止穿孔。
