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首页> 外文期刊>Surgical Endoscopy >Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach.
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Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach.

机译：食管粘膜下肿瘤摘除术：微创与开放治疗。

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BACKGROUND: Surgical enucleation of submucosal tumors (SMTs) of the esophagus (mostly leiomyomas) is indicated when either the tumors are symptomatic or their biological behavior is unclear. The classic approach is a thoracotomy, but tumor enucleation can now also be performed via thoracoscopy or, for distal tumors, via laparoscopy. METHODS: We assessed our experience with the different approaches in a total of 25 patients (n = 13 minimally invasive approach and n = 12 open surgery). Enucleation of the SMT was the basic surgical principle; the choice of the approach was based on the preference of the surgeon. RESULTS: Compared to open surgery, the minimally invasive approach reduced pulmonary complications, hospital stay, and postoperative wound-related pain. The operating time was the same for both approaches. CONCLUSION: Minimally invasive approaches are suitable for the surgical enucleation of submucosal esophageal tumors. Thoracoscopic and laparoscopic techniques are recommended as standard procedures in experienced centers.
机译：背景：食管粘膜下肿瘤（主要是平滑肌瘤）的手术摘除术是有症状或生物学行为不清楚的。经典的方法是开胸手术，但现在也可以通过胸腔镜或对于腹腔镜的远侧肿瘤，进行肿瘤摘除术。方法：我们评估了总共25例患者中不同方法的经验（n = 13例微创方法和n = 12例开放手术）。 SMT摘除术是基本的手术原则。方法的选择基于外科医生的偏好。结果：与开放手术相比，微创手术减少了肺部并发症，住院时间和术后伤口相关的疼痛。两种方法的工作时间相同。结论：微创方法适合于黏膜下食管肿瘤的手术摘除。建议在有经验的中心将胸腔镜和腹腔镜技术作为标准程序。

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