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Thoracoscopic Resection (thoracoscopic + resection)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

Surgical treatment of esophageal leiomyoma located near or at the esophagogastric junction via a thoracoscopic approach

DISEASES OF THE ESOPHAGUS, Issue 2 2009
Z. G. Li
SUMMARY Esophageal leiomyoma can be enucleated safely and effectively by minimally invasive surgery. The laparoscopic approach has been a conventional option for this kind of tumor located near or at the esophagogastric (EG) junction. The aims of this study were to evaluate the surgical outcome of thoracoscopic resection of leiomyoma at the EG junction, and discuss factors affecting the incidence of postoperative gastroesophageal reflux. Fourteen patients who underwent thoracoscopic resection of esophageal leiomyoma located near or at the EG junction (<4 cm above the esophageal hiatus) from January 2002 to August 2007 were reviewed retrospectively. Tumor characteristics, surgical methods, and postoperative outcomes were evaluated. A left approach of video-assisted thoracoscopy was used in 13 patients; a right approach was used for the other patient, whose multiple tumors were located in the EG junction and mid-esophagus. Postoperative recovery was uneventful in all patients, with no mucosa leakage or other significant complications. Mean tumor size was 3.2 cm (1.2,6.0 cm). Of the 14 patients, two had serpiginous leiomyoma, two had multiple tumors, and the others had solitary tumors. Mean postoperative stay in hospital was 7 days (4,11 days). Postoperative dysphagia was not reported, although gastroesophageal reflux was noted in one patient. Thoracoscopic resection of esophageal leiomyomas near or at the EG junction is feasible, with a low prevalence of postoperative gastroesophageal reflux. [source]

Thoracoscopic resection for intrathoracic neurogenic tumors

ASIAN JOURNAL OF ENDOSCOPIC SURGERY, Issue 3 2010
M Odaka
Abstract Introduction: The thoracoscopic approach is becoming the standard for intrathoracic neurogenic tumors, though certain technical issues still need to be resolved. The purpose of this study is to evaluate the feasibility of thoracoscopic surgery for intrathoracic neurogenic tumors. Methods: We evaluated short-term outcomes of 14 consecutive patients who underwent resection of intrathoracic neurogenic tumors between July 2005 and June 2009. Among them, three patients had tumors located at the thoracic apex, and one had a tumor with an intraspinal extension (dumbbell-type tumor). Results: A complete thoracoscopic resection was achieved in all patients with no postoperative mortality. The dumbbell-type tumor was resected with a combined neurosurgical,thoracoscopic approach. The postoperative course was uneventful in all patients. Conclusion: Our thoracoscopic approach was able to obtain satisfactory visualization of the field and enabled safe surgery for intrathoracic neurogenic tumors. This approach is minimally invasive and is indicated even for tumors located at the thoracic apex or those with intraspinal extensions. [source]

Surgical treatment of esophageal leiomyoma located near or at the esophagogastric junction via a thoracoscopic approach

DISEASES OF THE ESOPHAGUS, Issue 2 2009
Z. G. Li
SUMMARY Esophageal leiomyoma can be enucleated safely and effectively by minimally invasive surgery. The laparoscopic approach has been a conventional option for this kind of tumor located near or at the esophagogastric (EG) junction. The aims of this study were to evaluate the surgical outcome of thoracoscopic resection of leiomyoma at the EG junction, and discuss factors affecting the incidence of postoperative gastroesophageal reflux. Fourteen patients who underwent thoracoscopic resection of esophageal leiomyoma located near or at the EG junction (<4 cm above the esophageal hiatus) from January 2002 to August 2007 were reviewed retrospectively. Tumor characteristics, surgical methods, and postoperative outcomes were evaluated. A left approach of video-assisted thoracoscopy was used in 13 patients; a right approach was used for the other patient, whose multiple tumors were located in the EG junction and mid-esophagus. Postoperative recovery was uneventful in all patients, with no mucosa leakage or other significant complications. Mean tumor size was 3.2 cm (1.2,6.0 cm). Of the 14 patients, two had serpiginous leiomyoma, two had multiple tumors, and the others had solitary tumors. Mean postoperative stay in hospital was 7 days (4,11 days). Postoperative dysphagia was not reported, although gastroesophageal reflux was noted in one patient. Thoracoscopic resection of esophageal leiomyomas near or at the EG junction is feasible, with a low prevalence of postoperative gastroesophageal reflux. [source]

Thoracoscopic resection for intrathoracic neurogenic tumors

ASIAN JOURNAL OF ENDOSCOPIC SURGERY, Issue 3 2010
M Odaka
Abstract Introduction: The thoracoscopic approach is becoming the standard for intrathoracic neurogenic tumors, though certain technical issues still need to be resolved. The purpose of this study is to evaluate the feasibility of thoracoscopic surgery for intrathoracic neurogenic tumors. Methods: We evaluated short-term outcomes of 14 consecutive patients who underwent resection of intrathoracic neurogenic tumors between July 2005 and June 2009. Among them, three patients had tumors located at the thoracic apex, and one had a tumor with an intraspinal extension (dumbbell-type tumor). Results: A complete thoracoscopic resection was achieved in all patients with no postoperative mortality. The dumbbell-type tumor was resected with a combined neurosurgical,thoracoscopic approach. The postoperative course was uneventful in all patients. Conclusion: Our thoracoscopic approach was able to obtain satisfactory visualization of the field and enabled safe surgery for intrathoracic neurogenic tumors. This approach is minimally invasive and is indicated even for tumors located at the thoracic apex or those with intraspinal extensions. [source]