Endoscopic treatment of oesophageal leiomyoma: four new cases

Priego, Pablo; Lobo, Eduardo; Rodríguez, Gloria; Cabañas, Jacobo; Oteyza, Joaquín Pérez de; Fresneda, V.

doi:10.1007/s12094-007-0020-9

Cited by 8 publications

(9 citation statements)

References 17 publications

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“…6,7 Surgical options include thoracoscopic resection, transthoracic extramucosal enucleation, and buttressing the muscular defect with a pedicled great omental flap, esophagectomy and esophagogastrostomy above the arch of the aorta, total esophagectomy, and esophageal partial resection. EUS could clearly show the layer from which the lesion was derived.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasonography for the diagnosis and selecting treatment of esophageal leiomyoma

Qian

Chen

et al. 2012

J of Gastro and Hepatol

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Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasonography for the diagnosis and selecting treatment of esophageal leiomyoma

Qian

Chen

et al. 2012

J of Gastro and Hepatol

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“…Surgical procedure, both for OS and MIS was already described by the authors in previous articles (11,12).…”

Section: Methodsmentioning

confidence: 99%

Comparative study between open and minimally invasive approach in the surgical management of esophageal leiomyoma

et al. 2015

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Introduction: Leiomyomas are the most common benign tumors of the esophagus. Although classically surgical enucleation through thoracotomy or laparotomy has been widely accepted as treatment of choice, development of endoscopic and minimally invasive procedures has completely changed the surgical management of these tumors. Material and methods:We performed a retrospective review of all esophageal leiomyoma operated at Hospital Universitario Ramón y Cajal (Madrid, Spain) between January 1986 and December 2014, analyzing patients' demographic data, symptomatology, tumor size and location, diagnostic tests, surgical data, complications and postoperative stay.Results: Thirteen patients were found within that period, 8 men and 5 women, with a mean age of 53.62 years (range 35-70 years). Surgical enucleation was achieved in all patients. In 8 cases (61.54%) a thoracic approach was performed (4 thoracotomies and 4 thoracoscopies), and in 5 cases (38.56%) an abdominal approach was performed (3 laparotomies and 2 laparoscopies); enucleation was carried out through a minimally invasive approach in 6 patients (46.15%). There were no cases of endoscopic resection alone. Surgery mean length was 174.38 minutes (range 70-270 minutes) and median postoperative stay was 6.5 days (range 2-27 days). There was neither mortality nor cases of intraoperative complications were described. No postoperative major complications were reported; however one patient presented important pain in his right hemithorax that required management and long term follow-up by the Pain Management Unit. With a mean follow-up of 165.57 months (median 170; range 29-336 months) no recurrences were reported.Conclusion: Enucleation is the treatment of choice for the majority of esophageal leiomyomas. In our experience, duration of the surgical procedure through minimally invasive approach was longer than surgery through open approach; however, postoperative stay was shorter in the first group. Paradoxically, incision pain after surgery (thoracic neuralgia) was found to be higher in the minimally invasive approach group. Nevertheless, none of the results obtained in the study reached statistical significance, probably due to the small simple size.

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“…Surgical enucleation of benign esophageal tumors seems to become the consensus position [4], [5], and a thoracoscopic approach or per-oral endoscopic tumor resection reduces the invasiveness for patients. However, precise preoperative diagnosis is important because enucleation of gastrointestinal stromal tumor (GIST) with malignant potential resembling leiomyoma is not recommended, given the risk of tumor recurrence.…”

Section: Introductionmentioning

confidence: 99%

Thoracoscopic enucleation in the left decubitus position for leiomyoma of the upper thoracic esophagus: Utility of preoperative diagnosis applying endoscopic ultrasound-guided fine needle aspiration

Ishii

Takeno

Nishida

et al. 2017

International Journal of Surgery Case Reports

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Endoscopic treatment of oesophageal leiomyoma: four new cases

Abstract: The enucleation is an easier procedure and constitutes the therapy of choice of the oesophageal leiomyoma. We think that muscle borders should be closed after enucleation and that biopsy is not indicated preoperatively.

Cited by 8 publications

References 17 publications

Endoscopic ultrasonography for the diagnosis and selecting treatment of esophageal leiomyoma

Endoscopic ultrasonography for the diagnosis and selecting treatment of esophageal leiomyoma

Comparative study between open and minimally invasive approach in the surgical management of esophageal leiomyoma

Thoracoscopic enucleation in the left decubitus position for leiomyoma of the upper thoracic esophagus: Utility of preoperative diagnosis applying endoscopic ultrasound-guided fine needle aspiration

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