Clinical Research on the Combined Video-assisted Thoracic Surgery with Two Trocars and Endoscopic Ultrasonography in the Treatment of Esophageal Leiomyoma_West China Medical Journal

Authors：

 HuangZhiliang ¹ , GaoYu ¹ , HouDianchen ¹ ,  ZhangBin ²

1. The Second Clinical Medicine College; Inner Mongolia National University, Yakeshi, Inner Mongolia 022150, P. R. China;
2. Department of Thoracic Surgery, Affiliated Hopsital; Inner Mongolia National University, Yakeshi, Inner Mongolia 022150, P. R. China;

Corresponding?author：

ZhangBin, Email: bzh9911@163.com

Keywords：

Two trocars; Video-assisted thoracoscopic surgery; Endoscopic ultrasonography; Esophageal leiomyoma

DOI：

10.7507/1002-0179.201600182

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the minimal invasiveness and practability of combined video-assisted thoracic surgery (VATS) with two trocars and endoscopic ultrasonography (EUS) in the treatment of esophageal leiomyoma. Methods Between February 2007 and February 2012, we retrospectively analysed the clinical data of 166 patients who underwent various surgeries for the treatment of esophageal leiomyoma. Among them, 62 received routine thoracotomy (group A), 49 accepted conventional VATS surgery with three trocars (group B), and 55 underwent combined VATS surgery with two trocars and EUS (group C). Then, we summarized the clinical indexes of patients in all the three groups for further comparative analysis. Results There was no significant difference among the three groups in age, gender, and lesion location, origin level and size (P > 0.05). There were significant differences between group A and C in blood loss, surgery time, intraoperative localization, postoperative incision pain, hospitalization expenses, length of hospital stay, fasting time, pulmonary infection, and the complications during the follow-up (P < 0.05). There were significant differences between group C and B in blood loss, surgery time, intraoperative localization, fasting time and pulmonary infection (P < 0.05). Conclusion Combined VATS surgery with two trocars and EUS is safe, minimally invasive, thorough with few complications, which is worthy of clinical promotion.

Citation： HuangZhiliang, GaoYu, HouDianchen, ZhangBin. Clinical Research on the Combined Video-assisted Thoracic Surgery with Two Trocars and Endoscopic Ultrasonography in the Treatment of Esophageal Leiomyoma. West China Medical Journal, 2016, 31(4): 663-666. doi: 10.7507/1002-0179.201600182 Copy

1.	?Xu GQ, Qian JJ, Chen MH, et al. Endoscopic ultrasonography for the diagnosis and selecting treatment of esophageal leiomyoma[J]. J Gastroenterol Hepatol, 2012, 27(3): 521-525.
2.	張自正, 劉漢云, 陳剛. 胸腔鏡手術治療食管良性腫瘤經驗總結[J].亞太傳統醫藥, 2013, 9(7): 123-124.
3.	閔寒, 陳志榮, 龔菲, 等. 內鏡經黏膜下隧道腫瘤切除術治療源于固有肌層食管黏膜下腫瘤的回顧性分析[J]. 世界華人消化雜志, 2014, 22(7): 915-919.
4.	劉峰, 張志庸, 李單青, 等. 食管平滑肌瘤的診斷及外科處理[J]. 現代預防醫學, 2007, 34(13): 2577-2578.
5.	Kim GH, Kim KB, Lee SH, et al. Digital image analysis of endoscopic ultrasonography is helpful in diagnosing gastric mesenchymal tumors[J]. BMC Gastroenterol, 2014, 14(7): 1-7.
6.	Kang MS, Hong SJ, Han JP, et al. Endoscopic submucosal dissection of a leiomyoma originating from the muscularis propria of upper esophagus[J]. Korean J Gastroenterol, 2013, 62(4): 234-237.
7.	李清峰. 縱軸超聲內鏡指導內鏡微創治療多層次食管黏膜下腫瘤的價值研究[D]. 廣州: 南方醫科大學, 2014.
8.	高宇, 黃志亮, 王春梅, 等. 降鈣素原在老年細菌性肺炎診斷中的臨床應用價值[J]. 華西醫學, 2013, 28(11): 1731-1733.
9.	Ahn SY, Jeon SW. Endoscopic resection of co-existing severe dysplasia and a small esophageal leiomyoma[J]. World J Gastroenterol, 2013, 19(1): 137-140.
10.	朱薇, 辛小敏, 郭文, 等. 食管黏膜下腫物的特性以及超聲內鏡的診斷和治療意義[J]. 胃腸病學, 2013, 18(3): 163-165.
11.	Ashley EJ, Nicole S, Erica S, et al. Abstracts from the 38th Annual Meeting of the Society of General Internal Medicine[J]. J Gen Intern Med, 2015, 30(Suppl 2): 450-551.
12.	劉愛斯, 黃曼玲, 王愛萍, 等. 內鏡黏膜下剝離術治療食管固有肌層腫瘤的探討[J].實用醫學雜志, 2013, 29(14): 2368-2370.
13.	陳和忠, 金海, 楊立信, 等. 電視胸腔鏡輔助食管平滑肌瘤摘除術[J]. 中國胸心血管外科臨床雜志, 2011, 18(6): 518-520.
14.	王禹冰, 王武軍, 李梅, 等. 完全腔鏡下與腔鏡輔助小切口食管平滑肌瘤切除術的臨床療效比較[J]. 熱帶醫學雜志, 2011, 11(11): 1286-1288.
15.	屠惠明, 費伯建, 翁鳶, 等. 胃鏡及超聲胃鏡聯合胸腹腔鏡簡捷微創切除上消化道良性腫瘤[J]. 中華腔鏡外科雜志: 電子版, 2011, 4(6): 461-466.
16.	趙意, 蔡開燦, 劉德綱, 等. 術中胃鏡定位全胸腔鏡下食管平滑肌瘤摘除[J]. 南方醫科大學學報, 2012, 32(4): 586-588.
17.	張清峰, 寇瑛琍.食管良性疾病的發病誘因及外科診治總結分析[J].華西醫學, 2014, 29(11): 2032-2035.
18.	易航, 胡兵. 早期食管癌及癌前病變的內鏡診治研究進展[J]. 華西醫學, 2014, 29(3): 572-577.

1. ?Xu GQ, Qian JJ, Chen MH, et al. Endoscopic ultrasonography for the diagnosis and selecting treatment of esophageal leiomyoma[J]. J Gastroenterol Hepatol, 2012, 27(3): 521-525.
2. 張自正, 劉漢云, 陳剛. 胸腔鏡手術治療食管良性腫瘤經驗總結[J].亞太傳統醫藥, 2013, 9(7): 123-124.
3. 閔寒, 陳志榮, 龔菲, 等. 內鏡經黏膜下隧道腫瘤切除術治療源于固有肌層食管黏膜下腫瘤的回顧性分析[J]. 世界華人消化雜志, 2014, 22(7): 915-919.
4. 劉峰, 張志庸, 李單青, 等. 食管平滑肌瘤的診斷及外科處理[J]. 現代預防醫學, 2007, 34(13): 2577-2578.
5. Kim GH, Kim KB, Lee SH, et al. Digital image analysis of endoscopic ultrasonography is helpful in diagnosing gastric mesenchymal tumors[J]. BMC Gastroenterol, 2014, 14(7): 1-7.
6. Kang MS, Hong SJ, Han JP, et al. Endoscopic submucosal dissection of a leiomyoma originating from the muscularis propria of upper esophagus[J]. Korean J Gastroenterol, 2013, 62(4): 234-237.
7. 李清峰. 縱軸超聲內鏡指導內鏡微創治療多層次食管黏膜下腫瘤的價值研究[D]. 廣州: 南方醫科大學, 2014.
8. 高宇, 黃志亮, 王春梅, 等. 降鈣素原在老年細菌性肺炎診斷中的臨床應用價值[J]. 華西醫學, 2013, 28(11): 1731-1733.
9. Ahn SY, Jeon SW. Endoscopic resection of co-existing severe dysplasia and a small esophageal leiomyoma[J]. World J Gastroenterol, 2013, 19(1): 137-140.
10. 朱薇, 辛小敏, 郭文, 等. 食管黏膜下腫物的特性以及超聲內鏡的診斷和治療意義[J]. 胃腸病學, 2013, 18(3): 163-165.
11. Ashley EJ, Nicole S, Erica S, et al. Abstracts from the 38th Annual Meeting of the Society of General Internal Medicine[J]. J Gen Intern Med, 2015, 30(Suppl 2): 450-551.
12. 劉愛斯, 黃曼玲, 王愛萍, 等. 內鏡黏膜下剝離術治療食管固有肌層腫瘤的探討[J].實用醫學雜志, 2013, 29(14): 2368-2370.
13. 陳和忠, 金海, 楊立信, 等. 電視胸腔鏡輔助食管平滑肌瘤摘除術[J]. 中國胸心血管外科臨床雜志, 2011, 18(6): 518-520.
14. 王禹冰, 王武軍, 李梅, 等. 完全腔鏡下與腔鏡輔助小切口食管平滑肌瘤切除術的臨床療效比較[J]. 熱帶醫學雜志, 2011, 11(11): 1286-1288.
15. 屠惠明, 費伯建, 翁鳶, 等. 胃鏡及超聲胃鏡聯合胸腹腔鏡簡捷微創切除上消化道良性腫瘤[J]. 中華腔鏡外科雜志: 電子版, 2011, 4(6): 461-466.
16. 趙意, 蔡開燦, 劉德綱, 等. 術中胃鏡定位全胸腔鏡下食管平滑肌瘤摘除[J]. 南方醫科大學學報, 2012, 32(4): 586-588.
17. 張清峰, 寇瑛琍.食管良性疾病的發病誘因及外科診治總結分析[J].華西醫學, 2014, 29(11): 2032-2035.
18. 易航, 胡兵. 早期食管癌及癌前病變的內鏡診治研究進展[J]. 華西醫學, 2014, 29(3): 572-577.

West China Medical Journal

Clinical Research on the Combined Video-assisted Thoracic Surgery with Two Trocars and Endoscopic Ultrasonography in the Treatment of Esophageal Leiomyoma

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content