A Case of Laparoscopic and Thoracoscopic Enucleation for Giant Circumferential Esophageal Leiomyoma

DOI Web Site 11 References
  • Sato Kazuhide
    Division of Gastrointestinal Surgery, Department of Surgery, The Jikei University School of Medicine
  • Masuda Takahiro
    Division of Gastrointestinal Surgery, Department of Surgery, The Jikei University School of Medicine
  • Takahashi Keita
    Division of Gastrointestinal Surgery, Department of Surgery, The Jikei University School of Medicine
  • Tanishima Yuichiro
    Division of Gastrointestinal Surgery, Department of Surgery, The Jikei University School of Medicine
  • Fujisaki Muneharu
    Division of Gastrointestinal Surgery, Department of Surgery, The Jikei University School of Medicine
  • Uno Kohei
    Division of Gastrointestinal Surgery, Department of Surgery, The Jikei University School of Medicine
  • Sakashita Yuki
    Division of Gastrointestinal Surgery, Department of Surgery, The Jikei University School of Medicine
  • Hara Keigo
    Division of Gastrointestinal Surgery, Department of Surgery, The Jikei University School of Medicine
  • Yano Fumiaki
    Division of Gastrointestinal Surgery, Department of Surgery, The Jikei University School of Medicine
  • Eto Ken
    Division of Gastrointestinal Surgery, Department of Surgery, The Jikei University School of Medicine

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Other Title
  • 胸腔鏡下腹腔鏡下に核出術を行った巨大食道平滑筋腫の1例

Abstract

<p>A 24-year-old man was referred to our hospital for a suspected mediastinal tumor found on chest X-ray in a health check-up. CT showed a tumor with a maximal lateral diameter of 8 cm circumferentially located from the thoracic esophagus to abdominal esophagus. Boring biopsies were performed endoscopically and the pathological diagnosis was esophageal leiomyoma. The patient was suffering from heartburn and dysphagia caused by the tumor compressing and expanding the esophagus. Tumor enucleation was performed using laparoscopy and thoracoscopy. The tumor extended subcircumferentially along the longitudinal esophageal axis and was of length approximately 17 cm. After tumor enucleation, the muscular layer was circumferentially dissected from the middle thoracic esophagus to abdominal esophagus, where the mucosal layer alone was preserved. Anti-reflux fundoplication was also performed to prevent gastroesophageal reflux. The postoperative course was good and the patient was discharged on postoperative day 19. There have been few reports on enucleation of giant esophageal submucosal tumors. We report this case as an example of a giant submucosal esophageal leiomyoma treated by laparoscopic and thoracoscopic enucleation.</p>

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