电视胸腔镜微创手术治疗胸食管平滑肌瘤

Mini-invasive treatment of esophageal leiomyoma by video-assisted thoracoscopic surgery

目的探讨电视胸腔镜微创手术在胸食管平滑肌瘤治疗中的应用价值。方法分析福建医科大学附属协和医院胸外科1999年1月至2007年8月23例电视胸腔镜下胸食管平滑肌瘤摘除术的临床资料。结果电视胸腔镜手术摘除胸食管平滑肌瘤23例均获成功，其中18例施行单纯胸腔镜手术，5例辅助了小切口。手术无死亡及术后严重并发症。术后病理结果22例为平滑肌瘤（2例为黏膜下平滑肌瘤），1例为食管肌层神经鞘瘤。结论电视胸腔镜下摘除食管平滑肌瘤应作为治疗胸食管平滑肌瘤常规手术方式。

Objective To discuss the application value of video-assisted thoracoscopic surgery （VATS） in treatment of esophageal leiomyoma. Method Clinical data of patients with esophageal leiomyoma treated by VATS from Junary 1999 to August 2007 were analyzed. Results VATS esophageal leiomyoma enucleations were performed successfully in 23 patients, and 18 patients of them were performed by pure VATS, 5 patients of them were performed with mini-thoracotomy. All the procedures of operations were completed smoothly without mortality and postoperative complications. 22 patients were pathologically diagnosed as esophageal leiomyoma after surgery （2 patients＇ leiomyoma came from muscularis mucosa）. 1 patient was esophageal muscularis neurilemmoma. Conclusion VATS leiomyoma enucleations must be a routin operation while treat thoracic esophageal leiomyoma.