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Thoracoscopic enucleation of benign tumors of the esophagus under simultaneous flexible esophagoscopy.

机译:在同时柔性食管镜下进行胸腔镜摘除食道良性肿瘤。

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BACKGROUND: Benign tumors of the esophagus are very rare, accounting for only 0.1-2% of all esophageal tumors. Conventional treatment consists of thoracotomy adapted to the location of the tumor, followed by enucleation of the lesion. This approach, however, involves major surgery. Minimally invasive surgery represents a viable therapeutic alternative, in particular for benign tumors. METHODS: In four patients with a benign tumor of the esophagus, we carried out thoracoscopic enucleation under simultaneous esophagoscopy. RESULTS: Using this combination of endoscopic procedures, the tumors were removed reliably and safely. Two of the lesions were intramural leiomyomas, and two were intramural myxoid cysts. CONCLUSION: This combination of endoscopic procedures represents a minimally invasive approach with correspondingly minor surgical trauma. Using simultaneous esophagoscopy and transillumination (diaphanoscopy) of the esophageal wall, the safety and accuracy of the dissection is increased, and the risk of mucosal perforation minimized.
机译:背景:食道良性肿瘤非常罕见,仅占所有食道肿瘤的0.1-2%。常规治疗包括适应肿瘤位置的开胸手术,然后摘除病灶。但是,这种方法涉及大手术。微创手术代表了一种可行的治疗选择,特别是对于良性肿瘤。方法:在4例食管良性肿瘤患者中,我们在同时食管镜下进行了胸腔镜摘除术。结果:使用这种内窥镜检查方法,可以可靠,安全地切除肿瘤。其中两个病变是壁内平滑肌瘤,两个是壁内粘液样囊肿。结论:内窥镜手术的这种组合代表了一种微创方法,相应地具有较小的手术创伤。食管壁同时进行食管镜检查和透照检查(透照检查),可以提高解剖的安全性和准确性,并使粘膜穿孔的风险降至最低。

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