Treatment of esophageal leiomyoma and mesenchymoma with video-assisted thoracoscope under the assistance of fiber gastroscope
10.3760/cma.j.issn.1673-4904.2011.32.005
- VernacularTitle:纤维胃镜辅助胸腔镜下食管平滑肌瘤及间质瘤切除术
- Author:
Yong ZHOU
;
Wengong WANG
;
Bin CAO
- Publication Type:Journal Article
- Keywords:
Leiomyoma;
Thoracic surgery,video-assisted;
Gastroscopes
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(32):12-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience on treatment of esophageal leiomyoma and mesenchymoma with video-assisted thoracoscope under the assistance of a fiber gastroscope.Methods The clinical data of 14 cases of esophageal leiomyoma and 2 cases of esophageal mesenchymoma treated with video-assisted thoracoscope under the assistance of fiber gastroscope from October 2004 to December 2009 was retrospectively analyzed.Selected different surgical path and operation hole position according to the lesion site.Fiber gastroscope was conductive to accurately find lesion positions,and detected esophageal mucosa was breaked or not.Extra-mucosal excision was conducted in 16 cases.Results Ihere was no death and severe complications during perioperative period.Patients were diagnosed by pathological examination.Thirteen cases were followed up for 6-48(18.5 ±9.5)months,all patients ate unobstructed,and without relapse.Conclusion Treatment of esophageal leiomyoma and mesenchymoma with video-assisted thoracoscope under the assistance of fiber gastroscope has the advantages of intraoperative accurate positioning,minimally invasive,thoroughly,fewer complications,and it is the first choice of esophageal benign tumor treatment.
