Enucleation of Esophageal Angiolipoma by High-Resolution 3-Dimensional Video-Assisted Thoracoscopic Surgery: A Rare Case Treated with a State-of-the-Art Technique

Angiolipoma is a rare esophageal benign tumor, and only a few cases have been reported in the current literature. Compared with other benign esophageal tumors, their presence is typically asymptomatic, but occasionally there can be local symptoms, such as dysphagia, regurgitation, and ulceration with bleeding as the tumor size increases. Open thoracotomy and enucleation are traditional mainstays of diagnosis and treatment, but video-assisted thoracoscopic surgical enucleation is gaining recognition with its proven advantage of minimally invasive surgery. We report a 58-year-old male who was diagnosed as having esophageal angiolipoma with a 1-year symptom of progressive dysphagia. The submucosal esophageal tumor was completely enucleated with 3-dimensional video-assisted thoracoscopic surgery. Postoperative recovery was uneventful and no recurrence of related symptoms or tumor were found after a 2-year follow-up period.

關鍵字

angiolipoma ； esophagus benign tumor ； 3-dimensional video-assisted thoracoscopic surgery

並列摘要

血管脂肪瘤是一種罕見的食道良性腫瘤，至目前的文獻中只有少數的病例被零星地報導。與其他良性食道腫瘤相比，它們的存在通常是沒有症狀的，但是當腫瘤變大時，偶爾會引起如吞嚥困難，胃酸逆流和潰瘍出血等局部的症狀。傳統上，開放式開胸摘除手術是診斷和治療的標準方式，然而，近年來胸腔內鏡輔助手術（VATS）摘除食道良性腫瘤證明了微創手術的優勢。在本文中，我們的案例報告是一位53歲的男性，因為伴隨有一年的進行性吞嚥困難之症狀而被診斷患有食道血管脂肪瘤，在接受三維視頻輔助胸腔鏡手術（3DVATS）後，完整切除粘膜下食道腫瘤。兩年之術後追蹤發現恢復平穩，且無相關症狀和腫瘤復發。

並列關鍵字

血管脂肪瘤；食道良性腫瘤；三維視頻輔助胸腔鏡手術

國際替代計量

Enucleation of Esophageal Angiolipoma by High-Resolution 3-Dimensional Video-Assisted Thoracoscopic Surgery: A Rare Case Treated with a State-of-the-Art Technique

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