[1]赵桂彬,崔键,辛衍忠,等.电视胸腔镜手术治疗食管平滑肌瘤[J].中国微创外科杂志,2009,09(5):426-428.
　Zhao Guibin,Cui Jian,Xin Yanzhong,et al.Treatment of Esophageal Leiomyoma with Videoassisted Thoracoscope[J].Chinese Journal of Minimally Invasive Surgery,2009,09(5):426-428.
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电视胸腔镜手术治疗食管平滑肌瘤()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年5期
页码:
426-428
栏目:
出版日期:
2009-08-01

文章信息/Info

Title:
Treatment of Esophageal Leiomyoma with Videoassisted Thoracoscope
作者:
赵桂彬; 崔键; 辛衍忠; 董庆; 刘轶男; 闫宇博; 张凯
哈尔滨医科大学第四临床医学院胸外科，哈尔滨150001
Author(s):
Zhao Guibin; Cui Jian; Xin Yanzhong; et al.
Department of Thoracic Surgery, Fourth Hospital of Harbin Medical University, Harbin 150001, China
关键词:
食管平滑肌瘤; 电视胸腔镜手术; 胃镜; 超声食管镜
Keywords:
Esophageal leiomyoma; Videoassisted thoracoscopy; Gastroscopy; Esophagoscopy
分类号:
R735.1
文献标志码:
A
摘要:
目的探讨电视胸腔镜手术（videoassisted thoracoscopic surgery,VATS）治疗食管平滑肌瘤的应用价值。方法 2000年7月～2007年10月应用VATS治疗食管平滑肌瘤19例，全身麻醉，侧卧位，根据食管肿瘤位置，选取3个1.5～2.0 cm 胸壁切口，作为胸腔镜观察口及操作口，术中胃镜辅助操作。结果电视胸腔镜食管平滑肌瘤切除18例；1例术前诊断3 cm×2 cm食管平滑肌溜，术中证实为巨大平滑肿瘤，中转开胸。术后恢复顺利，无手术死亡及严重并发症，术后病理诊断均为平滑肌瘤。19例随访5～35个月，平均24.5月，无复发。结论电视胸腔镜肌瘤切除术可作为食管平滑肌瘤的首选治疗方法，对于较大食管平滑肌瘤应考虑开胸手术。
Abstract:
ObjectiveTo discuss the value of videoassisted thoracoscope in the treatment of esophageal leiomyoma. MethodsClinical data of 19 patients with esophageal leiomyoma treated by videoassisted thoracoscopy from July 2000 to October 2007 were reviewed retrospectively. Under general anaesthesia with the patients at the lateral position according to the location of esophageal leiomyoma,3 incisions were made on the chest wall for insertion of the trocars. Gastroscope was applied for intraoperative auxiliary operation.ResultsUnder a videoassisted thoracoscope, enucleation of the leiomyoma was performed on 18 of the patients, the other one, who were diagnosed with esophageal leiomyoma (3 cm × 2 cm) was converted to thoracotomy because of the tumor was confirmed huge during the thoracoscopy. No postoperative death or severe complications occurred. Pathological examination confirmed the diagnosis of leiomyoma in all of the cases. The patients were followed up for a mean of 24.5 months (5-35 months), no recurrence was found during the period. ConclusionsVideoassisted thoracoscopy can be the first choice for the treatment of esophageal leiomyoma. Open surgery should be considered if the tumor is huge.

参考文献/References:

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备注/Memo

备注/Memo:
张凯通讯作者
更新日期/Last Update: 2013-08-19