摘要
目的探讨胸腔镜下食管平滑肌瘤摘除术的可行性和有效性。方法回顾分析2002年12月至2008年11月共计39例食管平滑肌瘤胸腔镜手术患者的临床资料。结果36例患者经右侧进胸.3例经左侧进胸:胸腔镜下完成手术者38例,1例术中发生食管黏膜破裂,予以开胸行食管黏膜修补术。手术时间1~5(1.2±0.6)h;术中出血30~100(50±8.3)ml。肿瘤最大横径0.8~6.0(3.0±0.7)cm。术后胸管拔出时间为1~4(1.5±0.7)d:胸腔引流量为100~500(200±101)ml。除1例术中食管黏膜破裂行食管黏膜修补术.余患者无手术并发症和死亡发生。术后住院时间3-10(3.6±1.2)d。术后随访1个月至6年。所有患者未见肿瘤复发,无不适症状。结论胸腔镜下食管平滑肌瘤切除术安全可行.是治疗食管平滑肌瘤的主要手术方式之一。
Objective To investigate the application and efficacy of video-assisted thoracoscopic surgery in the treatment of esophageal leiomyoma. Methods Clinical data of 39 patients with esophageal leiomyoma from December 2002 to November 2008 treated by video-assisted thoracoscopic surgery were reviewed retrospectively. Results Video-assisted thoracoseopic leiomyoma enucleations were performed in 38 patients, and one patient was converted to thoracotomy to repair the esophageal mueosa because of mucosa rupture during the operation. Thirty-six patients were treated through the right chest and the other 3 cases through the left. The operation time ranged from 1 to 5 (1.2±0.6) h. The blood loss ranged from 30 to 100(50±8.3) ml. The time of chest tube placement ranged from 1 to 4 (1.5±0.7) d. The drainage amount was 100 to 500(200±101) ml. The hospital stay ranged from 3 to 10 (3.6±1.2) d. The maximal diameter of the tumor ranged from 0.8 to 6.0 (3.0±0.7) cm. There were no surgery-related complications or deaths except the case with esophageal mueosa rupture. There were no uncomfortable complains and tumor recurrence within the follow-up period of 1 to 72 months after operation. Conclusion Video-assisted thoracoscopic leiomyoma enucleation is a safe and effective approach for esophageal leiomyoma.
出处
《中华胃肠外科杂志》
CAS
北大核心
2010年第2期145-147,共3页
Chinese Journal of Gastrointestinal Surgery
关键词
食管肿瘤
平滑肌瘤
胸腔镜
外科手术
临床疗效
Esophageal neoplasms
Leiomyoma
Thoraeoscopes
Surgical procedures
Clinical outcome