| Yong Zhou. Removal of esophageal benign tumors with gastroscope-assisted thoracoscopic surgery. Oncol Transl Med, 2014, 13: 413-416. |
| 纤维胃镜辅助胸腔镜下食管间质瘤切除术 |
| Removal of esophageal benign tumors with gastroscope-assisted thoracoscopic surgery |
| Received:June 30, 2014 Revised:September 03, 2014 |
| DOI：10.1007/s10330-014-0012-5 |
| 中文关键词: 食管平滑肌瘤；食管间质瘤；电视胸腔镜手术；纤维胃镜 |
| 英文关键词: esophageal leiomyoma; mesenchymoma; video-assisted thoracoscope operation; fiber gastroscope |
| 基金项目: |
| Author Name | Affiliation | E-mail | | Yong Zhou* | The Affiliated Gulou Hospital of Nanjing University Medical college | 13405858786@163.com |
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| 中文摘要: |
| 总结纤维胃镜辅助胸腔镜下食管平滑肌瘤、间质瘤切除术的临床经验。方法 回顾分析2004年10月～2011年10月我院对24例食管平滑肌瘤和食管间质瘤患者采用纤维胃镜辅助胸腔镜下肿瘤粘膜外切除术。根据病变部位选择不同的手术路径及操作孔位置，术中在纤维胃镜辅助下准确定位，在切除肿瘤后检测食管粘膜有无破损。结果 本组病例无围手术期死亡及严重并发症。20例随访6～60个月，患者进食通畅，无复发。术后病理22为食管平滑肌瘤，2例经免疫组化检测诊断为食管间质瘤。结论 纤维胃镜辅助胸腔镜下食管平滑肌瘤、间质瘤切除术具有术中定位准确、微创、彻底、并发症少等优点，是食管良性肿瘤首选的治疗方法。 |
| 英文摘要: |
| Objective To report our experience in the treatment of benign esophageal tumors with fiberoptic gastroscope-assisted thoracoscopic surgery. Patients and methods We retrospectively analyzed the clinical data of 24 consecutive patients (22 with esophageal leiomyoma and 2 with esophageal mesenchymoma) who underwent gastroscope-assisted thoracoscopic surgery. There were 17 male and 7 female with a mean age of 36 years. The tumors were located in the upper and middle part of the esophagus in 17 cases and lower part in 7 cases. Results All 24 procedures were successfully performed. The median operative time was 84 minutes and the median hospital stay was 7.5 days. One esophageal perforation due to dissection of a large lesion occurred intraoperatively, which was repaired by suturing. No deaths or other severe postoperative complications were encountered during the median follow-up period of 20.5 months.
Conclusion Gastroscope-assisted thoracoscopic surgery provides a safe and effective alternative to open thoracotomy in the treatment of benign esophageal tumors. |
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