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首页> 外文期刊>BMC Gastroenterology >Complete laparoscopic-transhiatal removal of duplex benign oesophageal tumour: case report and review of literature
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Complete laparoscopic-transhiatal removal of duplex benign oesophageal tumour: case report and review of literature

机译：完整的腹腔镜 - 转象去除双链良性食管肿瘤：案例报告和文学审查

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Leiomyoma is the most common benign oesophageal tumour. Half of all leiomyoma patients have oesophagus-associated complaints, such as dysphagia and epigastric pain, and the other 50% are asymptomatic with a diagnosis made on incidental discovery. Endoscopic ultrasonography is essential for an accurate preoperative workup and can enable guided-tissue acquisition for immunohistochemistry in certain cases. Smaller tumours are amenable to traditional and novel endoscopic removal in specialized centres, but some complex cases require surgical enucleation with a minimally invasive approach. An asymptomatic 60-year-old woman was accidentally diagnosed with a bifocal oesophageal mass, which was discovered by chest computed tomography. We report a rare case of a duplicated lower-third oesophageal leiomyoma, which was completely removed via the laparoscopic transhiatal approach. The patient has recovered successfully from the surgery. She has been followed up for six months with a normal oesophagram, adequate oesophageal function and no complaints observed. Pathological examination confirmed the diagnosis of leiomyoma in both lesions. To the best of our knowledge, this is the first reported case of duplex oesophageal leiomyomas removed laparoscopically. Using the minimally invasive abdominal technique, the lower oesophagus can be mobilised to the mediastinum without pleura injury and offers a good alternative to the thoracoscopic approach in patients with possible intrathoracic difficulties. At experienced centres, laparoscopic transhiatal enucleation of lower oesophageal leiomyomas and other benign tumours with a combination of intraoperative oesophagoscopy is a safe, fast and effective operation.
机译：平滑肌瘤是最常见的良性食管肿瘤。所有平滑肌瘤患者的一半都有食道相关的投诉，例如吞咽困难和颠膜疼痛，另外50％是无症状，诊断偶然发现。内镜下超声检查对于准确的术前次疗法至关重要，并且可以在某些情况下能够为免疫组化进行引导组织。较小的肿瘤可用于传统和新的内窥镜去除在专业中心，但是一些复杂的病例需要具有微创方法的外科手术。一只无症状的60岁的女性被意外诊断出患有双焦点的食管肿块，被胸部计算断层扫描发现。我们报告了一例罕见的患有重复的低第三食道平滑肌瘤，其通过腹腔镜转发方法完全除去。患者已从手术中成功恢复。她一直随访六个月，具有正常的Oesophagram，适当的食管功能，没有观察到抱怨。病理检查证实了两种病变中的平滑肌瘤的诊断。据我们所知，这是第一个报告的双链食管平滑肌瘤腹腔镜诊断。利用微创腹部技术，可以将较低的食道动员到含有胸膜损伤的含有亚斯汀氏菌素，并且在可能的胸腔诊断患者中提供良好的胸腔镜方法替代方案。在经验丰富的中心，腹腔镜转发剂嗜酸性嗜酸性嗜酸性肌瘤和其他良性肿瘤的组合具有术中的噬镜检查，是一种安全，快速有效的操作。

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