Application of methylene blue staining for precise positioning of small esophageal leiomyoma during video-assisted thoracoscopic surgery via one utility port
10.7507/1007-4848.201709053
- VernacularTitle:单操作孔胸腔镜下美蓝染色法精准定位食管小平滑肌瘤的应用
- Author:
ZHANG Zheng
1
,
2
;
LIAO Yongde
3
;
LI Kuo
3
;
HUANG Quanfu
3
;
LIU Mei
4
;
FU Xiangning
3
Author Information
1. 1. Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Sciences and Technology, Wuhan, 430030, P.R.China
2. 2. Department of Thoracic Surgery, Yuhuangding Hospital, Qingdao University Medical School, Yantai, 264000, Shandong, P.R.China
3. Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Sciences and Technology, Wuhan, 430030, P.R.China
4. Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Sciences and Technology, Wuhan, 430030, P.R.China
- Publication Type:Journal Article
- Keywords:
Esophageal leiomyomas;
methylene blue;
video-assisted thoracoscopic surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(9):795-798
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a novel methylene blue staining technique to localize small esophageal leiomyomas ( small esophageal leiomyomas ( and 4 females with an average age of 51 years. We preoperatively injected 0.5–1.0 ml methylene blue in the submucosa adjacent to the tumors under the guidance of gastroscope. Then, we transferred the patients to the operating room. Results Staining was successful in 9 patients. The unstained tumor was exposed after the blue-stained mediastinal pleura and overlying muscle were incised longitudinally during ideo-assisted thoracoscopic surgery via one utility port. No abnormalities were detected in the esophageal mucosa. No major complications, such as esophageal leakage or esophageal diverticulum occurred. Conclusion Endoscopic methylene blue staining is safe and feasible for localizing small esophageal leiomyomas during video-assisted thoracoscopic surgery via one utility port. This method will enable enucleation precise and easy.
