Authors
Khmara A.D., Sukharev R.V., Kapralov S.V., Maslyakov V.V., Lebedev M.S
Saratov State Medical University named after V.I. Razumovsky, Saratov
Abstract
Purpose: to demonstrate the successful experience of performing videothoracoscopic removal of leiomyomas of different parts of the esophagus, including large ones, and the presence of progressive dysphagia. To show the features of preoperative risk and determination of the operating tactics of treatment, namely the possibilities of thoracoscopy in comparison with standard thoracotomy. To evaluate the optimality and effectiveness of the surgical technique used – videothoracoscopic removal of esophageal leiomyomas of different sizes and localization.
Materials and methods. Cases of successful surgical treatment of esophageal leiomyomas by videothoracoscopic removal are presented.
Conclusion. Good immediate and longterm results of treatment prove the effectiveness and safety of the surgical technique used. It should be noted that the feature of the presented cases is not only the successful surgical intervention, but also allows to eliminate the pathological process regardless of the location of leiomyomas.
Keywords: esophageal leiomyoma, videothoracoscopic removal of esophageal leiomyomas, dysphagia.
References
1. Zhestkov K.G. Clinical recommendations for the diagnosis and treatment of diaphragm relaxation. All-Russian Public Organization "Russian Society of Surgeons" (In Russ.) http://общество-хирургов.рф/stranica-pravlenija/klinicheskie-rekomendaci/torakalnaja-hirurgija/klinicheskie-rekomendaci-po-diagnostike-i-lecheniyu-relaksaci-diafragmy.html
2. Parshin VD, Khetagurov MA. Diaphragm relaxation surgery. Surgery. N.I. Pirogov Journal. 2018; 3: 4-14. (In Russ.)
3. Deryaeva OG, Slepokurova TA, Tushinskaya YuK, et al. Performing "closed" thoracocentesis and drainage of the pleural cavity on the left with unilateral relaxation of the diaphragm. Doctor. 2020; 11: 57-59. (In Russ.)
4. Izyumov MS, Bulynin VV, Bobrovskikh AM. Comparative morphological assessment of the reaction of pleural leaflets and interstitial lung tissue in an experiment in rats to various chemical agents used in pleurodesis. Perspectives of Science and Education. 2018; 2(32): 262-266. (In Russ.)
5. Khetagurov M.A. Reconstructive operations on the diaphragm in elective thoracic surgery. [dissertation] Moscow; 2019. (In Russ.)
6. Esakov YuS, Pechetov AA, Gritsyuta AYu. The choice of the method of diaphragm plastic surgery for acquired relaxation from the standpoint of evidence-based medicine. Surgery. 2014; 11: 88-91. (In Russ.)
7. Smriti S, Varghese ZK. Case Report Anesthetic Challenges of Congenital Diaphragmatic Hernia Repair in an Adult. International Journal of Science and Research (IJSR) 2019; 8(7): 458-460.
8. Maeda S, Sado T, Sakurada A, et al. Two types of diaphragmatic plication; therapeutic plication and prophylactic plication. Kyobu Geka the Japanese Journal of Thoracic Surgery. 2014; 67(11): 971-975.
9. Ozkan S, Yazici U, Aydin E, et al. Is surgical plication necessary in diaphragm eventration. Asian Journal of Surgery 2016; 39: 59-65.
10. Belov SA, Grigoryuk AA, Shulga IV. The use of thoracoscopy in the treatment of relaxation of the diaphragm. Pacific Medical Journal. 2018; 1: 62-63. (In Russ.)
11. Huttl TP, Wichmann MW, Reichart B, et al. Laparoscopic diaphragmatic plication: long-term results of a novel surgical technique for postoperative phrenic nerve palsy. Surg. Endosc. 2004; 18: 547-551.
12. Kwak K, Lazzaro R, Pournik H, et al. Robotic thoracoscopic plication for symptomatic diaphragm paralysis. J Robotic surg. 2012; 6: 345-348.
13. Zwischenberger BA, Kister N, Zwischenberger JB, et al. Laparoscopic robot-assisted diaphragm plication. Ann Thorac Surg. 2016; 101(1): 369-371.
14. Evman S, Tezel C, Vayvada M, et al. Comparison of Mid-Term Clinical Outcomes of Different Surgical Approaches in Symptomatic Diaphragmatic Eventration. Ann Thorac Cardiovasc Surg. 2016; 22(4): 224-229.


