电视胸腔镜辅助下胸部小切口治疗食管平滑肌瘤

Experience video-assisisted thoracoscopic surgery in the treatment of esophageal leiomyoma

目的讨论胸腔镜辅助下胸部小切口治疗食管平滑肌瘤的方法、可行性和安全性。方法2005年1月～2009年1月,本院应用胸腔镜辅助下胸部小切口手术治疗食管平滑肌瘤7例,淋巴结结核1例。结果所有患者均应用胸腔镜胸部小切口手术完成,无进一步扩大切口,无手术死亡及术后严重并发症发生,所有患者均治愈出院。术后病理除1例为淋巴结结核外,其余7例均为食管平滑肌瘤。随访时间3～48个月,无复发。结论胸腔镜辅助下胸部小切口治疗食管平滑肌瘤符合小手术,小切口的要求,是一种安全、可行的微创术式。

[ Objective ] To summarize the method and experience of treatment of esophageal leiomyoma by videoassisisted thoracoscopic surgery （VATS）. [ Methods ] 7 patients with esophageal leiomyoma were treated by VATS from January 2005 to January 2009. [ Results ] All the operations were successful by VATS, without serious complications and operative mortality. Among them, 1 patient was diagnosed as lymphonode tuberculosis by postoperative pathology. Follow-up time was 3-48 months. There was no patient to recur. [ Conclusions ] Treatment of esophageal leiomyoma by VATS is easy to be accepted by patients, because it is characteristic of small incision.