完全腔镜下与腔镜辅助小切口食管平滑肌瘤切除术的临床疗效比较  

Clinical effect comparison of esophageal leiomyoma resection by totally thoracoscopic surgery and video-assisted thoracic small incision surgery

作　　者：王禹冰[1] 王武军[1] 李梅[1] 刘素娥[1] 蔡瑞君[1] 

机构地区：[1]南方医科大学南方医院胸心外科,广东广州510515

出　　处：《热带医学杂志》2011年第11期1286-1288,共3页Journal of Tropical Medicine

摘　　要：目的比较完全腔镜下与腔镜辅助小切口食管平滑肌瘤切除术的临床效果。方法 56例食管平滑肌瘤患者,其中行完全腔镜下食管平滑肌瘤切除术26例,腔镜辅助小切口食管平滑肌瘤切除术30例,全部采用剥离摘除食管平滑肌瘤,操作方法与开胸手术基本相同。比较两组患者的临床治疗效果。结果两组间一般资料、手术效果比较差异均无统计学意义(P均>0.05)。所有患者术后恢复顺利,无手术死亡及其它严重并发症,术后病理诊断均为食管平滑肌瘤。随访2-36个月,无肿瘤复发及食管憩室。结论两种手术方式均安全、有效,手术效果无差异,但完全腔镜下较腔镜辅助小切口更安全、快捷,且创伤性小。Objective To compare the clinical efficacy of esophageal leiomyoma resection by totally thoracoscopic surgery and video-assisted thoracic small incision surgery.Methods A total of 56 patients with esophageal leiomyoma who underwent surgical resection from January 2005 to March 2011 were enrolled in this study.Twenty six patients followed totally thoracoscopic surgery.Thirty patients followed video-assisted thoracic small incision surgery.All patients underwent esophageal leiomyoma enucleation.The procedure of the surgery was similar to that of open surgery enucleation.The therapeutic efficacy was compared between the two groups.Results There was no significant difference（P〈0.05） in the clinical data and surgery effect of the two groups.No postoperative death or severe complications occurred.Pathological examination confirmed the diagnosis of leiomyoma in all of the cases.During a follow-up for 2-36 months,none of the patients was found recurrence or esophageal diverticulum.Conclusion The both methods of esophageal leiomyoma resection are safe and effective,and no difference in results of operations.However,esophageal leiomyoma resection by totally thoracoscopic surgery is safer,faster,and less traumatic than video-assisted thoracic small incision surgery.

关 键 词：食管平滑肌瘤 胸腔镜 电子胃镜 超声胃镜 

分 类 号：R735.1[医药卫生—肿瘤]