CAJ | 학술논문

目的总结纤维胃镜辅助胸腔镜下食管平滑肌瘤、间质瘤切除术的临床经验.方法回顾性分析2004年10月至2009年12月收治的14例食管平滑肌瘤和2例食管间质瘤患者的临床资料,均采用纤维胃镜辅助胸腔镜下肿瘤黏膜外切除术.根据病变部位选择不同的手术路径及操作孔位置,术中在纤维胃镜辅助下准确定位,在切除肿瘤后检测食管黏膜有无破损.结果 16例患者无围手术期死亡及严重并发症发生.术后均经病理检查确诊.13例随访6～ 48(18.5±9.5)个月,进食通畅,无肿瘤复发.结论纤维胃镜辅助胸腔镜下食管平滑肌瘤、间质瘤切除术具有术中定位准确、微创、彻底、并发症少等优点,是食管良性肿瘤首选的治疗方法.
목적 총결섬유위경보조흉강경하식관평활기류、간질류절제술적림상경험.방법 회고성분석2004년10월지2009년12월수치적14례식관평활기류화2례식관간질류환자적림상자료,균채용섬유위경보조흉강경하종류점막외절제술.근거병변부위선택불동적수술로경급조작공위치,술중재섬유위경보조하준학정위,재절제종류후검측식관점막유무파손.결과 16례환자무위수술기사망급엄중병발증발생.술후균경병리검사학진.13례수방6～ 48(18.5±9.5)개월,진식통창,무종류복발.결론 섬유위경보조흉강경하식관평활기류、간질류절제술구유술중정위준학、미창、철저、병발증소등우점,시식관량성종류수선적치료방법.
Objective To summarize the experience on treatment of esophageal leiomyoma and mesenchymoma with video-assisted thoracoscope under the assistance of a fiber gastroscope.Methods The clinical data of 14 cases of esophageal leiomyoma and 2 cases of esophageal mesenchymoma treated with video-assisted thoracoscope under the assistance of fiber gastroscope from October 2004 to December 2009 was retrospectively analyzed.Selected different surgical path and operation hole position according to the lesion site.Fiber gastroscope was conductive to accurately find lesion positions,and detected esophageal mucosa was breaked or not.Extra-mucosal excision was conducted in 16 cases.Results Ihere was no death and severe complications during perioperative period.Patients were diagnosed by pathological examination.Thirteen cases were followed up for 6-48(18.5 ±9.5)months,all patients ate unobstructed,and without relapse.Conclusion Treatment of esophageal leiomyoma and mesenchymoma with video-assisted thoracoscope under the assistance of fiber gastroscope has the advantages of intraoperative accurate positioning,minimally invasive,thoroughly,fewer complications,and it is the first choice of esophageal benign tumor treatment.