Esophageal Duplication Cyst Surgery

Esophageal cysts have the same origin as esophageal duplication (cysts) and belong to congenital embryo sac remnants rather than tumors. Because its morphology is similar to benign tumors, it is generally included in benign tumors of the esophagus. Its incidence is second only to esophageal leiomyoma, and most of them occur in the esophageal wall, which is rare in clinical practice. Esophageal cysts account for approximately 22% of benign esophageal tumors. Blassium first reported a case of esophageal recurrent malformation in 1711. In 1931, Sauerbruch and Fick first surgically removed esophageal cysts from a 13-year-old male patient. Congenital esophageal cysts have their own characteristics of embryogenesis, histological findings, and the location of the disease, and are different from the mediastinal cyst of the mediastinum and the esophageal duplication of the mediastinum (the neural tube of the intestinal tract). Treatment of diseases: esophageal cysts Indication If the infant's huge esophageal cyst or repeated deformity causes severe respiratory distress symptoms, as long as the diagnosis is clear, surgical treatment or aspiration decompression should be performed in time. In the early years, some people succeeded in the use of bag-shaped suture decompression for giant esophageal cysts. Contraindications Esophageal cysts generally have no serious adhesion to the esophagus and are easy to remove. Cases requiring esophagectomy are extremely rare. Small, asymptomatic esophageal cysts that occur in adults and do not require surgical treatment and can be followed up. Surgical procedure First cut the mediastinal pleura, free the esophagus where the cyst is located and cut the esophageal muscle layer longitudinally, reveal the cyst, dissect and separate with the sharp and blunt separation method, completely separate the mucosal layer of the cyst, then in the neck The department was treated with a curved vascular clamp clamp, which was removed by a vascular clamp; the proximal margin of the cyst neck and the esophageal muscle layer were sutured by a thin wire. If the esophageal repetitive malformation (intestinal cyst), in order to prevent its recurrence, it must be completely removed. If there is only one wall (co-wall) between the cyst and the esophagus, the cyst must be dissected, the mucosa and most of the cyst wall removed or excised, and then the esophageal mucosa is sutured with the residual cyst wall (muscle layer). Exposed area.

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