南方医科大学学报2012，Vol.32Issue(4)：586-588,3.DOI:10.3969/j.issn.1673-4254.2012.04.034
术中胃镜定位全胸腔镜下食管平滑肌瘤摘除
Video-assisted thoracoscopic removal of esophageal leiomyomas with intraoperative tumor location by endoscopy
摘要
Abstract
Objective To summarize our experience with video-assisted thoracoscopic (VATS) removal of esophageal leiomyoma located with endoscopy during operation.Methods Between January 2006 and December 2010,55 patients with esophageal leiomyoma underwent VATS enudeation.The surgical procedure was similar to that of open thoracotomy with intraoperative endoscopic location of the tumor and examination of the mucosal integrity especially for tumors less than 1 cm in diameter.Results Of the 55 patients undergoing VATS tumor removal,54 patients completed the procedures smoothly,and 1 patient experienced ventricular fibrillation during the operation to require an open thoracotomy.Endoscopy was used in 38 patients during the operation.VATS enucleation differed significantly from open thoracotomy in the volume of bleeding,postoperative fasting days and postoperative hospital stay (P0.05).The symptoms were completely relieved after the operation without postoperative complications.The patients were followed up for 8 to 59 months (mean 23.0 months) and no recurrence was found.Conclusion VATS removal of esophageal leiomyomas is minimally invasive,safe and effective and can serve as the primary option for surgical removal of esophageal leiomyomas.关键词
食管平滑肌瘤/电视胸腔镜手术/开胸/胃镜Key words
esophageal leiomyoma/video-assisted thoracoscopy/thoracotomy/endoscopy分类
医药卫生引用本文复制引用
赵意,蔡开灿,刘德纲,吴华,熊刚,王昊飞,黄志勇,蔡瑞君,吴旭..术中胃镜定位全胸腔镜下食管平滑肌瘤摘除[J].南方医科大学学报,2012,32(4):586-588,3.基金项目
广东省科技计划项目(2007B030700006) （2007B030700006）
南方医院教育研究重点项目(09NJ-ZD01) （09NJ-ZD01）
