| Revista: | Revista do Colegio Brasileiro de Cirurgioes |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000189091 |
| ISSN: | 0100-6991 |
| Autores: | Azevedo, Joao Luiz M.C1 Boulez, Jean2 Azevedo, Otavio3 |
| Instituciones: | 1Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Sao Paulo. Brasil 2Hospital do Servidor Publico do Estado de Sao Paulo, Sao Paulo. Brasil 3Universite Claude Bernard Lyon 1, Faculte de Medecine, Villeurbanne, Rhone-Alpes. Francia |
| Año: | 2000 |
| Periodo: | Ene-Dic |
| Volumen: | 27 |
| Número: | 1 |
| Paginación: | 60-62 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Artículo |
| Enfoque: | Aplicado, descriptivo |
| Resumen en inglés | This report describes three cases of esophageal leiomyomas successfully resected by thoracoscopy. Surgical enucleation through minimally invasive surgery is the treatment of choice for esophageal leiomyoma. The conventional approach through a formal thoracotomy has the potential of causing excessive pain and patient discomfort. Moreover, the hospital stay and the recovery period are prolonged. Indications for surgery were based mainly on the size of the mass (<4 cm) and the presence of dysphagia. In one case there was a clear suspicion of malignancy. The tumour was located in the lower thoracic esophagus (case 1), in the middle thoracic esophagus (case 2) and in the upper esophagus (case 3). The CT was useful in identifying the relationship between the lesion and the organs of the mediastinum. The barium swallow study was able to locate the lesion along the esophagus. The endosonography determined the boundaries of the lesions. A right thoracoscopic approach was undertaken. Dissection of the esophagus around its entire perimeter was never necessary because all tumours were anterior or right sided. The tumours were better grasped with a traction suture than with forceps. The hidrodissection was very helpful. The water-soluble contrast swallow, performed on the fourth postoperative day, was normal. Clinical results were satisfactory in all patients. Biopsies should never be performed when the mucosa overlying is normal |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Gastroenterología, Esófago, Neoplasias, Técnicas quirúrgicas, Leiomioma, Videotoracoscopía |
| Keyword: | Medicine, Gastroenterology, Surgery, Esophagus, Neoplasms, Surgical techniques, Leiomyomas, Videothoracoscopy |
| Texto completo: | Texto completo (Ver PDF) |
