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◆要旨:患者は78歳,女性.2012年7月,有鉤義歯による食道異物の診断で当院紹介となった.義歯の鉤が食道壁に刺入し固定され,上部消化管内視鏡や直達鏡での摘出は困難であり胸腔鏡下異物摘出術を施行した.胸腔鏡下に異物の直上で食道を縦方向に切開し,異物を食道から摘出した.切開した食道は結節縫合で層々に縫合閉鎖した.術後は縫合不全や吻合部狭窄を合併することなく経過良好であった.本邦では食道異物に対して異物摘出・食道縫合を完全に胸腔鏡下に行った報告はないので報告する.
A 78-year-old woman was referred to our hospital because of a foreign body in the middle thoracic esophagus. By esophagoscopy or autoscope we could not extract the dental prostheses because it had sharp clasps which caught and stuck into the esophageal wall. We performed thoracoscopic surgery. After cutting into the esophageal wall, we picked out the foreign body from the esophagus, and sutured the esophagus by layer-to-layer method. She recovered without any complications. There is no report of the complete thoracoscopic surgery for esophageal foreign body in this country.
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