1 例食管腹段支气管源性食管囊肿行腹腔镜手术切除的诊治体会并文献复习_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

付瑞敏 , 杨远园 ,  文坤明

遵义医科大学附属医院胃肠外科（贵州遵义 563000）;

Corresponding author：

文坤明, Email: 381224619@qq.com

Keywords：

支气管源性食管囊肿; 食管腹段; 腹腔镜手术; 文献回顾

DOI：

10.7507/1007-9424.202004115

Video：

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目的总结支气管源性食管囊肿的临床表现、诊断方法及治疗方式。方法对 2019 年 6 月遵义医科大学附属医院收治的 1 例食管腹段支气管源性食管囊肿患者的临床资料及诊疗经过进行回顾性分析，并进行相关文献复习，总结该病的诊断方法及治疗方式。结果该例患者是在体检时无意发现肝胃间隙肿物，行腹部 CT 提示为肿瘤或肿大淋巴结，术前诊断考虑为肝胃间隙占位：胃肠间质瘤？肿大淋巴结？虽然该患者无任何临床症状，但是考虑是占位性病变且肿瘤不能除外，为切除病变并明确性质，所以行腹腔镜手术切除，术后行组织病理学检查诊断为支气管源性食管囊肿。结合文献复习，支气管源性食管囊肿比较罕见，该病的临床表现与其大小、位置及生长方式有关，该病影像学表现无特殊，需要结合多种检查与其他疾病相鉴别，故术前明确诊断困难。手术可以切除完整病变，并且可以进一步行组织病理学检查确诊该病。结论支气管源性食管囊肿在临床上比较少见，由于缺乏对该病的认识，术前诊断该病比较困难，可以根据患者的不同临床表现，选择不同的检查方法来帮助鉴别其他疾病并且诊断该病。因该病有出血、感染、破溃穿孔甚至恶变可能，因此多建议积极手术切除，手术方式可根据病变位置及大小来选择。

Citation： 付瑞敏, 杨远园, 文坤明. 1 例食管腹段支气管源性食管囊肿行腹腔镜手术切除的诊治体会并文献复习. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(1): 111-114. doi: 10.7507/1007-9424.202004115 Copy

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2.	Cheng Y, Chen D, Shi L, et al. Surgical treatment of an esophageal bronchogenic cyst with massive upper digestive tract hematoma without esophagectomy: a case report and the review of the literature. Ther Clin Risk Manag, 2018, 14: 699-707.
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8.	Turkyilmaz A, Eroglu A, Subasi M, et al. Intramural esophageal bronchogenic cysts: a review of the literature. Dis Esophagus, 2007, 20(6): 461-465.
9.	Yang X, Zong Y, Zhao HY, et al. Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation. BMC Gastroenterol, 2019, 19(1): 155.
10.	Fievet L, D’Journo XB, Guys JM, et al. Bronchogenic cyst: best time for surgery? Ann Thorac Surg, 2012, 94(5): 1695-1699.
11.	Nakamura T, Fujikawa R, Otsuki Y, et al. Prone position surgery for a subcarinal bronchogenic cyst. Surg Case Rep, 2018, 4(1): 151.
12.	Lin JS, Yu YR, Chiou EH, et al. Intramural esophageal bronchogenic cyst mimicking achalasia in a toddler. Pediatr Surg Int, 2017, 33(1): 119-123.
13.	Sun L, Lu L, Fu W, et al. Gastric bronchogenic cyst presenting as a gastrointestinal stromal tumor. Int J Clin Exp Pathol, 2015, 8(10): 13606-13612.
14.	Ota Y, Watanabe T, Takahashi K, et al. Bronchogenic cyst removal via thoracoscopic surgery in the prone position: a case report and literature review. Int J Surg Case Rep, 2019, 60: 204-208.

1. Díaz Nieto R, Naranjo Torres A, Gómez Alvarez M, et al. Intraabdominal bronchogenic cyst. J Gastrointest Surg, 2010, 14(4): 756-758.
2. Cheng Y, Chen D, Shi L, et al. Surgical treatment of an esophageal bronchogenic cyst with massive upper digestive tract hematoma without esophagectomy: a case report and the review of the literature. Ther Clin Risk Manag, 2018, 14: 699-707.
3. Altieri MS, Zheng R, Pryor AD, et al. Esophageal bronchogenic cyst and review of the literature. Surg Endosc, 2015, 29(10): 3010-3015.
4. Sonthalia N, Jain SS, Surude RG, et al. Congenital esophageal duplication cyst: a rare cause of dysphagia in an adult. Gastroenterology Res, 2016, 9(4-5): 79-82.
5. 张树亮, 朱勇, 吴灿兴, 等. 下段食管旁巨大支气管源性囊肿一例. 中华医学杂志, 2016, 96(33): 2679-2680.
6. Han C, Lin R, Yu J, Zhang Q, et al. A case report of esophageal bronchogenic cyst and review of the literature with an emphasis on endoscopic ultrasonography appearance. Medicine (Baltimore), 2016, 95(11): e3111.
7. Kanemitsu Y, Nakayama H, Asamura H, et al. Clinical features and management of bronchogenic cysts: report of 17 cases. Surg Today, 1999, 29(11): 1201-1205.
8. Turkyilmaz A, Eroglu A, Subasi M, et al. Intramural esophageal bronchogenic cysts: a review of the literature. Dis Esophagus, 2007, 20(6): 461-465.
9. Yang X, Zong Y, Zhao HY, et al. Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation. BMC Gastroenterol, 2019, 19(1): 155.
10. Fievet L, D’Journo XB, Guys JM, et al. Bronchogenic cyst: best time for surgery? Ann Thorac Surg, 2012, 94(5): 1695-1699.
11. Nakamura T, Fujikawa R, Otsuki Y, et al. Prone position surgery for a subcarinal bronchogenic cyst. Surg Case Rep, 2018, 4(1): 151.
12. Lin JS, Yu YR, Chiou EH, et al. Intramural esophageal bronchogenic cyst mimicking achalasia in a toddler. Pediatr Surg Int, 2017, 33(1): 119-123.
13. Sun L, Lu L, Fu W, et al. Gastric bronchogenic cyst presenting as a gastrointestinal stromal tumor. Int J Clin Exp Pathol, 2015, 8(10): 13606-13612.
14. Ota Y, Watanabe T, Takahashi K, et al. Bronchogenic cyst removal via thoracoscopic surgery in the prone position: a case report and literature review. Int J Surg Case Rep, 2019, 60: 204-208.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

1 例食管腹段支气管源性食管囊肿行腹腔镜手术切除的诊治体会并文献复习

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