胸腔镜-内镜并用和腹腔镜-内镜并用进行2例食管肌瘤切除手术

摘要

Background Leiomyoma is the most common benign tumor of the esophagus; if malignancy can be ruled out preoperatively, minimally invasive treatment can be performed either thoraco-scopically or laparoscopically. Methods We report on two cases, where we resected a midesophagus tumor by a thoracoscopic and a distal esophageal tumor by a laparoscopic approach under endoscopic assistance during the resection procedure. By this thoracoscopic-endoscopic and laparoscopic-endoscopic rendezvous procedure uncomplicated resection was performed and perforation was avoided. Conclusion Minimally invasive surgical therapy is recommended for the resection of benign submucosal tumors of the esophagus. Tumors located in the middle and distal third can easily be resected. Endoscopic control with rendezvous technique during the operation is recommended to avoid mucosal injury.%背景平滑肌瘤是常见的食管良性肿瘤,术前若能排除恶性的可能,则可通过胸腔镜或腹腔镜进行最小侵入性的手术治疗.方法此处报道2例手术,均借助内镜接近术位,一例通过胸腔镜切除了一个食管中部的肿瘤,另一例通过腹腔镜切除了一个食管末端的肿瘤.通过这种胸腔镜与内镜并用和腹腔镜与内镜并用的方法,切除手术较简单,也避免了在身体上做切口.结论推荐采用最小侵入性手术疗法切除良性的食管黏膜下肿瘤.位于食管中部和下部三分之一段的肿瘤可以很容易地被切除.推荐在手术中并用内镜控制以避免损伤黏膜.