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：

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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

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14.	王禹冰, 王武军, 李梅, 等. 完全腔镜下与腔镜辅助小切口食管平滑肌瘤切除术的临床疗效比较[J]. 热带医学杂志, 2011, 11(11): 1286-1288.
15.	屠惠明, 费伯建, 翁鸢, 等. 胃镜及超声胃镜联合胸腹腔镜简捷微创切除上消化道良性肿瘤[J]. 中华腔镜外科杂志: 电子版, 2011, 4(6): 461-466.
16.	赵意, 蔡开灿, 刘德纲, 等. 术中胃镜定位全胸腔镜下食管平滑肌瘤摘除[J]. 南方医科大学学报, 2012, 32(4): 586-588.
17.	张清峰, 寇瑛琍.食管良性疾病的发病诱因及外科诊治总结分析[J].华西医学, 2014, 29(11): 2032-2035.
18.	易航, 胡兵. 早期食管癌及癌前病变的内镜诊治研究进展[J]. 华西医学, 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. 张自正, 刘汉云, 陈刚. 胸腔镜手术治疗食管良性肿瘤经验总结[J].亚太传统医药, 2013, 9(7): 123-124.
3. 闵寒, 陈志荣, 龚菲, 等. 内镜经黏膜下隧道肿瘤切除术治疗源于固有肌层食管黏膜下肿瘤的回顾性分析[J]. 世界华人消化杂志, 2014, 22(7): 915-919.
4. 刘峰, 张志庸, 李单青, 等. 食管平滑肌瘤的诊断及外科处理[J]. 现代预防医学, 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. 纵轴超声内镜指导内镜微创治疗多层次食管黏膜下肿瘤的价值研究[D]. 广州: 南方医科大学, 2014.
8. 高宇, 黄志亮, 王春梅, 等. 降钙素原在老年细菌性肺炎诊断中的临床应用价值[J]. 华西医学, 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. 食管黏膜下肿物的特性以及超声内镜的诊断和治疗意义[J]. 胃肠病学, 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. 刘爱斯, 黄曼玲, 王爱萍, 等. 内镜黏膜下剥离术治疗食管固有肌层肿瘤的探讨[J].实用医学杂志, 2013, 29(14): 2368-2370.
13. 陈和忠, 金海, 杨立信, 等. 电视胸腔镜辅助食管平滑肌瘤摘除术[J]. 中国胸心血管外科临床杂志, 2011, 18(6): 518-520.
14. 王禹冰, 王武军, 李梅, 等. 完全腔镜下与腔镜辅助小切口食管平滑肌瘤切除术的临床疗效比较[J]. 热带医学杂志, 2011, 11(11): 1286-1288.
15. 屠惠明, 费伯建, 翁鸢, 等. 胃镜及超声胃镜联合胸腹腔镜简捷微创切除上消化道良性肿瘤[J]. 中华腔镜外科杂志: 电子版, 2011, 4(6): 461-466.
16. 赵意, 蔡开灿, 刘德纲, 等. 术中胃镜定位全胸腔镜下食管平滑肌瘤摘除[J]. 南方医科大学学报, 2012, 32(4): 586-588.
17. 张清峰, 寇瑛琍.食管良性疾病的发病诱因及外科诊治总结分析[J].华西医学, 2014, 29(11): 2032-2035.
18. 易航, 胡兵. 早期食管癌及癌前病变的内镜诊治研究进展[J]. 华西医学, 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

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