What steps does esophagectomy have

summary

When the size of esophageal leiomyoma is too large, especially when the diameter is more than 1cm, it needs to be solved by surgery. Resection of esophageal leiomyoma is a typical type of surgery. Let's take a look at the steps of esophageal leiomyoma resection.

What steps does esophagectomy have

First of all: for esophageal leiomyoma located in cervical segment, the oblique incision of sternocleidomastoid muscle anterior edge was made, 5-7cm in length; for upper thoracic segment, the right posterolateral intercostal incision was taken; for middle or lower thoracic segment, the right posterolateral incision or left posterolateral incision was taken according to tumor location; while the left upper paraventral median incision was only used for tumor near cardia.

Secondly, the esophagus was put forward and the muscle layer on the surface of the tumor was cut longitudinally. Between the muscular layer and submucosa of the esophagus, the tumor was separated bluntly along the outer membrane of the tumor. The tumor protruded out of the muscular layer. In the process of operation to be careful to avoid damage to the esophageal mucosa.

Finally: after the tumor was removed, the wound was stopped completely. If the esophageal mucosa is damaged, it can be sutured intermittently. Then the muscular layer of esophagus was sutured intermittently.

matters needing attention

Because of the slow development of the disease, although there is a potential malignant tendency, but the malignant transformation rate is low, so for the elderly, small tumor, no obvious symptoms, can not use surgical treatment, the choice of method is closely related to the patient's condition.