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IR@PKUHSC  > 北京大学第二临床医学院  > 胸外科  > 期刊论文
学科主题: 临床医学
题名:
Thoracoscopic enucleation of esophageal leiomyoma: a retrospective study on 40 cases
作者: Jiang, G.; Zhao, H.; Yang, F.; Li, J.; Li, Y.; Liu, Y.; Liu, J.; Wang, J.
关键词: esophagus ; leiomyoma ; thoracoscopy
刊名: DISEASES OF THE ESOPHAGUS
发表日期: 2009
DOI: 10.1111/j.1442-2050.2008.00883.x
卷: 22, 期:3, 页:279-283
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Gastroenterology & Hepatology
研究领域[WOS]: Gastroenterology & Hepatology
关键词[WOS]: TUMORS ; RESECTION
英文摘要:

Esophageal leiomyoma is the most common benign esophageal tumor. Thoracoscopic enucleation is currently a preferred approach to most of these lesions. We present our experiences of enucleation of these tumors using thoracoscopic approach. A retrospective review of 40 patients who underwent enucleation of esophageal leiomyoma from 1997 to 2007 in our institute was conducted. Presenting symptoms, operative approach, tumor size, tumor shape, outcomes, and indication for this approach were analyzed. Forty patients were identified. Postoperative histopathology confirmed the leiomyoma in all patients. The thoracoscopic enucleation was completed in 34 cases, and the operation was converted to open procedure in six cases. Reasons for conversion included too small tumors to be visualized in two cases, thoracic cavity adhesion in one case, and the too large tumors in three cases. The median operating time was 70 min (50 to 210 min). Mean tumor size was 3.7 cm (0.5-10 cm). There were no major postoperative complications. Symptoms especially dysphasia were relieved postoperatively. Short- and long-term follow-up was satisfactory with none of the patients having tumor recurrences or other problems. Thoracoscopic enucleation of esophageal leiomyoma is technically safe and effective. It is currently the best choice for management of esophageal leiomyoma 1 to 5 cm in diameter. It can also be tried on a tumor larger than 5 cm, although the possibility of conversion to thoracotomy increases along with tumor growing and surrounding the esophagus.

语种: 英语
WOS记录号: WOS:000265069500012
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/64722
Appears in Collections:北京大学第二临床医学院_胸外科_期刊论文

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作者单位: Peking Univ, Dept Thorac Surg, Ctr Miniinvas Thorac Surg, Peoples Hosp, Beijing 100044, Peoples R China

Recommended Citation:
Jiang, G.,Zhao, H.,Yang, F.,et al. Thoracoscopic enucleation of esophageal leiomyoma: a retrospective study on 40 cases[J]. DISEASES OF THE ESOPHAGUS,2009,22(3):279-283.
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