ĐẶC ĐIỂM KHỐI U TRONG PHẪU THUẬT NỘI SOI NGỰC BÓC U CƠ THỰC QUẢN LÀNH TÍNH TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: To describe tumor characteristics in patients with benign esophageal leiomyoma undergoing thoracoscopic enucleation at Hanoi Medical University Hospital. Methods: Retrospective descriptive study, describing all patients diagnosed with benign esophageal leiomyoma treated at the Department of General Surgery, Hanoi Medical University Hospital, from January 2016 to December 2022. Results and discussion: There were 31 patients with benign esophageal leiomyoma undergoing thoracoscopic enucleation, included 16 males (51.6%) and 15 females (48.4%). The average tumor size was 32.32 ± 9.76 mm (20 - 57 mm). Tumor location, distribution in the upper, middle and lower esophagus were 9.7% (n=3), 64.5% (n=20) and 25.8% (n=8), respectively. The majority endoscopic ultrasound findings were hypoechoic and homogeneous, accounting for 93.5%. Most patients in the study had only one tumor, the size of the tumor was closely related to clinical symptoms. All patients underwent thoracoscopy with the right thoracic approach. There were no serious complicatios during or after surgery. Conclusions: esophageal leiomyoma are tumors with hypoechoic and homogeneous on ultrason endoscopy. Almost tumors are medium size. Thoracoscopic enucleation of benign esophageal leiomyoma is a safe and effective surgery even with tumors larger than 5cm in size.