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背景平滑肌瘤是常见的食管良性肿瘤,术前若能排除恶性的可能,则可通过胸腔镜或腹腔镜进行最小侵入性的手术治疗。方法此处报道2例手术,均借助内镜接近术位,一例通过胸腔镜切除了一个食管中部的肿瘤,另一例通过腹腔镜切除了一个食管末端的肿瘤。通过这种胸腔镜与内镜并用和腹腔镜与内镜并用的方法,切除手术较简单,也避免了在身体上做切口。结论推荐采用最小侵入性手术疗法切除良性的食管黏膜下肿瘤。位于食管中部和下部三分之一段的肿瘤可以很容易地被切除。推荐在手术中并用内镜控制以避免损伤黏膜。
Background Leiomyoma is a common benign esophageal neoplasm. If the possibility of malignancy can be ruled out before surgery, minimally invasive surgery can be performed through thoracoscope or laparoscopy. Methods Two procedures were reported here, both with endoscopic approach to the surgical site, one with a thoracoscopic resection of a tumor in the middle of the esophagus and the other with laparoscopic resection of an esophageal tumor. Through this thoracoscopic and endoscopic and laparoscopic endoscopic and endoscopic methods, resection is relatively simple, but also to avoid making the body incision. Conclusions Minimally invasive surgical treatment of benign esophageal submucosal tumors is recommended. Tumors in the middle and lower third of the esophagus can be easily resected. Recommended surgery and endoscopic control to avoid damage to the mucosa.