对食道胃肠道 stromal 瘤进行胸腔镜和内镜合作手术:一个病例报告
Ryo Kanoda1, Tomohiro Kikuchi2, Akihito Utsumi3
1Department of Gastrointestinal Tract Surgery, Fukushima Medical University School of Medicine, 1 Hikariga-Oka, Fukushima City, Fukushima, 960-1295, Japan. kanoda17@fmu.ac.jp.
Surgical case reports
|October 17, 2024
概括
胸腔镜和内镜合作手术 (TECS) 为食道胃肠道 stromal 瘤 (GISTs) 提供了一个最小侵入性的选择. 这种方法避免了食道切除术,使其成为治疗这些罕见瘤的潜在替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 胸部外科手术 胸部外科手术
背景情况:
- 消化管胃肠道侧面瘤 (GISTs) 很少见,占所有GISTs的2-5%.
- 目前的治疗方法往往涉及亚总食道切除或局部切除,缺乏标准化的程序.
- 胸腔镜和内镜合作手术 (TECS) 已经为胃GIST建立,但以前没有报告食道GIST.
研究的目的:
- 报告第一个胸腔镜和内镜合作手术 (TECS) 的案例,用于食道GIST.
- 审查关于食道GISTs手术方法的现有文献.
- 评估TECS在食道GIST治疗中的可行性和潜力.
主要方法:
- 一名60岁的男性患者患有食道亚皮质病变,诊断为GIST.
- 患者接受了TECS,涉及胸腔镜解剖,随后进行内镜全层切除.
- 该程序以切除部位的胸腔镜接完成.
主要成果:
- 对食道GIST的TECS手术成功进行.
- 该手术持续了3小时22分钟,血流量最小 (50毫升).
- 切除边缘得到了保证,并且该程序避免了广泛的食道切除和重建.
结论:
- 对食道GIST进行手术的选择取决于病变的位置和大小.
- 通过结合内镜和胸腔镜可视化和操纵,TECS提供安全的切除边缘.
- TECS是一种最少的侵入性方法,也是食道GIST的潜在手术选择,可以保护食道.
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