直径小于1 cm的食管平滑肌瘤的胸腔镜剥除术8例报告
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Enucleation of leiomyoma of esophagus with diameter less than 1 centimeter using video-assisted thoracoscope ( 8 cases report)
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    目的:探讨直径小于1 cm的食管平滑肌瘤的胸腔镜剥除术的可行性-方法:2006年8月-2010年4月,对8例直径小于1 cm 的微小食管平滑肌瘤行胸腔镜下剥除术-男性5例,女性3例,年龄35~64岁,平均48岁,瘤体直径0.5~1.0 cm,平均0.72 cm-3例位于中段食管,行右胸径路;3例位于下1/3食管及2例位于胃食管交界处行左胸径路-结果:本组8例无死亡,均痊愈出院-手术经过顺利,手术时间60~180 min,平均120 min,无食管黏膜损伤,无中转开胸,术后住院时间4~8天,平均6天,术后均无瘘-憩室等并发症出现-结论:对直径小于1 cm的食管良性肿瘤行胸腔镜手术是安全-可行的-

    Abstract:

    Objective: To study the feasibility of enucleation of leiomyoma of esophagus with diameter less than 1 centimeter using video-assisted thoracoscope. Methods:Total 8 patients were recruited, who had leiomyoma of esophagus with diameter less than 1 centimeter excised successfully using video-assisted thoracoscope between August 2006 and April 2010. There were 5 male and 3 female. Age ranged from 35 to 64 years with mean age 48 years old. The diameters of tumors ranged from 0.5 to 1.0 centimeter with mean value 0.72 centimeter. The tumor of 3 cases located in midpiece of esophagus, which had been excised successfully via right thorax, whereas another 3 cases with tumor located in inferior one third of esophagus and the other 2 cases with tumor located in the gastro-esophageal juncture, which had been excised successfully via left thorax. Results:There was no death in 8 cases, all recovering successfully. The operation cost 60 to 180 minutes with average of 120 minutes. There was no injury of mucous membrane of esophagus, and also no one was compelled to open-chest operation during surgery. No one had complications such as fistula, diverticulum and so on. Conclusion:It is safe and feasible for enucleation of leiomyoma of esophagus with diameter less than 1 centimeter using video-assisted thoracoscope.

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吴卫兵,陈 亮,朱 全,张石江.直径小于1 cm的食管平滑肌瘤的胸腔镜剥除术8例报告[J].南京医科大学学报(自然科学版),2011,(1):91-93

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  • 收稿日期:2010-06-26
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