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首页> 外文期刊>World Journal of Gastroenterology >Surgical treatment of giant esophageal leiomyoma.
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Surgical treatment of giant esophageal leiomyoma.

机译：巨大食管平滑肌瘤的外科治疗。

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AIM: To summarize the operative experiences for giant leiomyoma of esophagus. METHODS: Eight cases of giant esophageal leiomyoma (GEL) whose tumors were bigger than 10 cm were treated surgically in our department from June 1980 to March 2004. All of these cases received barium swallow roentgenography and esophagoscopy. Leiomyoma located in upper thirds of the esophagus in one case, middle thirds of the esophagus in five cases, lower thirds of the esophagus in two cases. Resection of tumors was performed successfully in all of these cases. Operative methods included transthoracic extramucosal enucleation and buttressing the muscular defect with pedicled great omental flap (one case), esophagectomy and esophago-gastrostomy above the arch of aorta (three cases), total esophagectomy and esophageal replacement with colon (four cases). Histological examination confirmed that all of these cases were leiomyoma. RESULTS: All of the eight patients recovered approvingly with no mortality and resumed normal diet after operation. Vomiting during meals occurred in one patient with esophagogastrostomy, and remained 1 mo. Reflux esophagitis occurred in one patient with esophago-gastrostomy and was alleviated with medication. Thoracic colon syndrome (TCS) occurred in one patient with colon replacement at 15 mo postoperatively. No recurrence occurred in follow-up from 6 mo to 8 years. CONCLUSION: Surgical treatment for GEL is both safe and effective. The choices of operative methods mainly depend on the location and range of lesions. We prefer to treat GEL via esophagectomy combined with esophago-gastrostomy or esophagus replacement with colon. The long-time quality of life is better in the latter.
机译：目的：总结食管巨大平滑肌瘤的手术经验。方法：1980年6月至2004年3月在我科外科手术治疗8例肿瘤大于10cm的巨大食管平滑肌瘤。所有病例均接受钡剂X线摄片和食管镜检查。平滑肌瘤位于食管的上三分之一，食管的中间三分之一为五例，食管的下三分之一为二例。在所有这些情况下，均成功地切除了肿瘤。手术方法包括经胸膜外摘除术和用带蒂大网膜瓣支持肌肉缺损（一例），主动脉弓上方食管切除术和食管胃造瘘术（三例），全食管切除术和结肠食管置换术（四例）。组织学检查证实所有这些病例都是平滑肌瘤。结果：八例患者全部恢复正常，无死亡，术后恢复正常饮食。一名食管胃造口术患者进餐时呕吐，并保持1 mo。一名食管胃造口术患者发生反流性食管炎，并用药物缓解。一名患者在术后15 mo发生了结肠置换术，发生了胸腔结肠综合征（TCS）。随访从6个月到8年没有复发。结论：手术治疗GEL既安全又有效。手术方法的选择主要取决于病变的部位和范围。我们更喜欢通过食管切除术联合食管胃造口术或结肠替代食道来治疗GEL。后者的长期生活质量更好。

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