Thoracoscopic enucleation of esophageal leiomyoma: a retrospective study on 40 cases

被引:36
作者
Jiang, G. [1 ]
Zhao, H. [1 ]
Yang, F. [1 ]
Li, J. [1 ]
Li, Y. [1 ]
Liu, Y. [1 ]
Liu, J. [1 ]
Wang, J. [1 ]
机构
[1] Peking Univ, Dept Thorac Surg, Ctr Miniinvas Thorac Surg, Peoples Hosp, Beijing 100044, Peoples R China
关键词
esophagus; leiomyoma; thoracoscopy; TUMORS; RESECTION;
D O I
10.1111/j.1442-2050.2008.00883.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
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.
引用
收藏
页码:279 / 283
页数:5
相关论文
共 17 条
[1]   Giant leiomyoma of the esophagus [J].
Aurea, P ;
Grazia, M ;
Petrella, F ;
Bazzocchi, R .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2002, 22 (06) :1008-1010
[2]  
CATTANEO SM, 2004, CURRENT THERAPY THOR, P339
[3]   Thoracoscopic enucleation of a leiomyoma of the upper thoracic esophagus [J].
Coral, RP ;
Madke, G ;
Westphalen, A ;
Tressino, D ;
Carvalho, LA ;
Mastalir, E .
DISEASES OF THE ESOPHAGUS, 2003, 16 (04) :339-341
[4]   Robotic-assisted thoracoscopic resection of esophageal leiomyoma [J].
Elli, E ;
Espat, NJ ;
Berger, R ;
Jacobsen, G ;
Knoblock, L ;
Horgan, S .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2004, 18 (04) :713-716
[5]   THORACOSCOPIC ENUCLEATION OF LEIOMYOMA OF THE ESOPHAGUS [J].
EVERITT, NJ ;
GLINATSIS, M ;
MCMAHON, MJ .
BRITISH JOURNAL OF SURGERY, 1992, 79 (07) :643-643
[6]  
Hatch GF, 2000, WORLD J SURG, V24, P401
[7]   Minimally invasive resection of benign esophageal tumors [J].
Kent, Michael ;
d'Amato, Thomas ;
Nordman, Cory ;
Schuchert, Matthew ;
Landreneau, Rodney ;
Alvelo-Rivera, Miguel ;
Luketich, James .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2007, 134 (01) :176-181
[8]   Current management of esophageal leiomyoma [J].
Lee, LS ;
Singhal, S ;
Brinster, CJ ;
Marshall, B ;
Kochman, ML ;
Kaiser, LR ;
Kucharczuk, JC .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2004, 198 (01) :136-146
[9]   Esophageal stromal tumors - A clinicopathologic, immunohistochemical, and molecular genetic study of 17 cases and comparison with esophageal leiomyomas and leiomyosarcomas [J].
Miettinen, M ;
Sarlomo-Rikala, M ;
Sobin, LH ;
Lasota, J .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2000, 24 (02) :211-222
[10]   Esophageal leiomyoma: A 40-year experience [J].
Mutrie, CJ ;
Donahue, DM ;
Wain, JC ;
Wright, CD ;
Gaissert, HA ;
Grillo, HC ;
Mathisen, DJ ;
Allan, JS .
ANNALS OF THORACIC SURGERY, 2005, 79 (04) :1122-1125