education/training in thoracic surgery

  • 文章类型: Journal Article
    平滑肌瘤是食管最常见的良性肿瘤。开胸手术,食管平滑肌瘤摘除术采用的传统方法,多年来,已经逐渐被电视胸腔镜手术所取代。然而,这种微创方法有局限性,例如二维视觉和缩小的运动范围,最近已经被机器人辅助手术的技术优势所克服。在环状食管平滑肌瘤的外科治疗中,机器人手术和术中内窥镜检查的联合使用可能有助于促进肿瘤摘除术并防止手术过程中的食管粘膜损伤。
    Leiomyoma is the most common benign tumor of the esophagus. Open thoracotomy, the traditional approach adopted for the enucleation of the esophageal leiomyoma, over the years, has been gradually replaced by video-assisted thoracoscopic surgery. However, this minimally invasive approach has limitations, such as two-dimensional vision and reduced range of motion, which have recently been overcome by technical advantages of robot-assisted surgery. In the surgical management of circumferential esophageal leiomyoma, a combined use of robotic surgery and intraoperative endoscopy may be helpful to facilitate tumor enucleation and to prevent esophageal mucosal injury during the surgical procedure.
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