Esophageal resection for giant leiomyoma: report of two cases and a review of the literature

Abstract

Esophageal leiomyomas are approximately 50 times less common than carcinoma, but they are the most common benign tumors of the esophagus. Whereas removal of the tumor by enucleation by conventional thoracotomy or thoracoscopy can be performed in most cases, esophagectomy is required for giant tumors of the esophagus.

Minimally invasive surgery for giant esophageal leiomyoma: a case report & review of the literatures

“…According to the previous publications, mild erosive esophagitis and esophago pleural fistula arising from the intrathoracic esophagogastrostomy occurred in patients underwent open resection and mucosal ruptures occurred in patients underwent minimally invasive surgery (5,7,10). Because of the absence of operation time, we can't prove whether minimally invasive approach consumes less time than open resection.…”

Complete thoracoscopic enucleation of giant leiomyoma of the esophagus: a case report and review of the literature

“…Because of the large tumor size and unclear boundaries with surrounding tissues, all previously reported giant leiomyomas of the esophagus [2,3,5-10] were treated by open thoracotomy or tumor resection through a thoracoabdominal incision in combination with gastroesophagostomy. Traditional open thoracotomy can cause relatively serious operative trauma and negatively affects postoperative respiratory function and diet restoration, in addition to inevitable anastomotic complications [3,6,11], all of which can worsen the prognosis. In recent years, a series of domestic and international centers have gradually implemented minimally invasive surgeries for the treatment of esophageal leiomyoma, including resection or enucleation [12-18] of esophageal leiomyoma by thoracoscopy [1,4,11], laparoscopy [1,4], or Da Vinci robot-assisted thoracoscopy [19].…”

Approach to esophageal leiomyoma: a report of eight cases

“…However, in rare cases where there is a very large tumor or leiomyomatosis, a resection may be required. [13,14] Single or multiple tumors along with their size and localization can be used as guides for deciding whether a patient should have surgery. The surgical approach can be achieved by either a thoracotomy or thoracoscopy.…”