Diagnosis and surgical management of benign diseases of the esophagus

Nemir, Paul; Wallace, Herbert W.; M, Fallahnejad

doi:10.1016/s0011-3840(76)80007-x

Cited by 24 publications

(10 citation statements)

References 127 publications

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“…In some cases, however, the tum-our is so large that resection is necessary [16]. For leiomyosarcoma, however, resection is the treatment of choice.…”

Section: Treatmentmentioning

confidence: 99%

Leiomyo(sarco)ma of the oesophagus

Hoekstra¹,

Vermey²,

Edens³

1984

Journal of Surgical Oncology

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Leiomy(sarco)mas of the oesophagus are rare tumours, which often cause ill-defined disturbances in the passage of solid food. The diagnosis can be established by simple radiological examination and endoscopy. There is no infiltration of the mucosa and it is undesirable to take biopsy specimens from such tumours through intact mucosa. The treatment of choice of leiomyoma is enucleation; that of leiomyosarcoma is resection.

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“…In some cases, however, the tum-our is so large that resection is necessary [16]. For leiomyosarcoma, however, resection is the treatment of choice.…”

Section: Treatmentmentioning

confidence: 99%

Leiomyo(sarco)ma of the oesophagus

Hoekstra¹,

Vermey²,

Edens³

1984

Journal of Surgical Oncology

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“…Benign tumors of the distal esophagus are rare entities. Surgical enucleation is indicated when symptoms are present or when the tumor size is greater than 5 cm . The conventional treatment for esophageal leiomyoma was transthoracic enucleation through thoracotomy .…”

Section: Discussionmentioning

confidence: 99%

Robotic‐assisted enucleation of a large lower esophageal leiomyoma and review of literature

Khalaileh

Savetsky

Adileh

et al. 2013

Robotics Computer Surgery

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Leiomyoma is the most common benign esophageal neoplasm. Different invasive surgical approaches have been described for management of such lesions. The literature is reviewed and a robotic assisted left thoracoscopic enucleation with the patient in the right side position is described. A 40-year-old male patient, otherwise healthy, found to have a lower midiastinal mass on screening X-ray, is described. Physical examination and blood tests were within normal limits. Diagnostic work-up included: computerized tomography (CT) scanning of the chest and midiastinum that revealed a 40 × 30 mm mass of the distal esophagus, an upper gastrointestinal endoscopy showed a lower protruding esophageal submucosal mass with intact mucosa, a filling defect was apparent on esophagography. Endoscopic ultrasonography (EUS) showed the same findings, biopsies were taken and leimyoma was diagnosed. Under general anesthesia with a double-lumen endotracheal tube, the patient was positioned on his right side. A 30 robotic scope was introduced in the left 7th intercostal space on the posterior axillary line. Two 8-mm robotic trocars were inserted in the left 5th and 9th intercostals spaces on the same line. Operative field was clearly exposed and an additional 5-mm ethicon trocar was inserted. The inferior pulmonary ligament was released, the parietal pleural space opened, proximal and distal control was achieved using Penrose. The muscular layer of the lower esophagus was opened by coagulation hook, the lesion was enucleated without mucosal penetration. Intraoperative endoscopy permitted localization of the lesion and ensured mucosal integrity. The muscular layer was not closed and the chest drain was left. Total operative time was 200 min and blood loss was less than 20 mL. A Gastrograffin swallow on the first post-operative day showed good esophageal clearance and absence of leak, the patient was allowed a liquid diet. He was discharged on the third post-operative day in a good general condition, benign pathology was confirmed.

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“…Fibrovascular polyps are epithelial and intraluminal. 21 Intraluminal pedunculated tumors like fibrovascular esophageal polyps have a greater chance of being aspirated into the larynx and trachea due to their mobility and proximity to the beginning of the upper airway tract.…”

Section: Discussionmentioning

confidence: 99%