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>Journals >Cirugía y Cirujanos >Year 2011, Issue 6


Pacheco-Barzallo F, Arias-Garzón W, Rodríguez-Suárez J, Carrera-Hidalgo A
Laparoscopic enucleation of an esophageal leiomyoma
Cir Cir 2011; 79 (6)

Language: Español
References: 34
Page: 564-569
PDF: 386.51 Kb.

[Full text - PDF]

ABSTRACT

Background: Leiomyoma is the most common benign esophageal tumor that originates in the muscular layer, with the most common site located in the distal third of the esophagus. Its growth causes symptoms due to partial obstruction of the esophageal lumen, leading to the diagnosis and subsequent treatment. Today, due to modern minimally invasive surgical techniques, complete removal of these tumors can be accomplished with minimal morbidity and excellent results.
Case report: We report the case of a 49-year-old female with a history of dysphagia, epigastric pain, and halitosis. She was diagnosed with a benign tumor originating from the muscular layer of the distal esophagus. Multiple biopsies had previously been taken, without histological confirmation. The patient underwent surgery where complete tumor enucleation was done laparoscopically.
Conclusions: Preoperative diagnosis of these tumors should be based on clinical history and studies such as esophagoscopy and endoscopic ultrasound. Laparoscopic enucleation is the treatment of choice for leiomyomas of the esophagogastric junction. Biopsy specimens should be avoided because histology is not always possible. Furthermore, they are related to rupture of the esophageal mucosa during surgical treatment. After enucleation in selected patients, anti-reflux procedure should be carried out in order to protect the area of surgical resection and prevent complications from weakening the lower esophageal sphincter, as well as to resolve reflux symptoms.


Key words: Benign esophageal tumor, esophageal leiomyoma, laparoscopic surgery.


REFERENCES

  1. Seremetis MG, Lyons WS, De Guzmán VC, Peabody JW Jr. Leiomyomatavof the esophagus. Analysis of 838 cases. Cancer 1976;38:2166-2177.

  2. Mutrie C, Donahue D, Wain J, Wright C, Gaissert H, Grillo H, etval. Esophageal leiomyoma: a 40-year experience. Ann ThoracvSurg 2005;79:1122-1125.

  3. Benítez J, Zubirán MJ, Zubirán RJ, Cisneros L. Leiomioma del esófagov y su resección endoscópica transhiatal. Informe de un caso. Rev Mex Cir Endoscop 2005;6:135-140.

  4. Kimura H, Konishi K, Kawamura T, Nojima N, Saton T, Kaji M, et al. Smooth muscle tumors of the esophagus: clinicopathological findings in six patients. Dis Esophagus 1999;12:77-81.

  5. Miettinen M, Sarlomo-Rikala M, Sobin L, LasotaJ. Esophageal stromal tumors: a clinicopathologic, immunohistochemical, and molecular genetic study of 17 cases and comparison with esophageal leiomyomas and leiomyosarcomas. Am J Surg Pathol 2000;24:211-222.

  6. Hadtch G, Wertheimer-Hatch L, Hatch K, Davis G, Blanchard D, Foster R, et al. Tumors of the esophagus. World J Surg 2000;24:401-411.

  7. Bonavina L, Segalin A, Rosati R, Pavanello M, Peracchia A. Surgical therapy of esophageal leiomyoma. J Am Coll Surg 1995;181:257-262.

  8. Postlethwait RW, Musser AW. Changes in theesophagus in 1000 autopsy specimens. J Thorac Cardiovasc Surg 1974;68:953-956.

  9. Lee LS, Sinighal S, Brinster CJ, Marshall B, Kochman ML, Kaiser LR, et al. Current management of esophageal leiomyoma. J Am Coll Surg 2004;198:136-146.

  10. Deren MM, Lundell D, Saieh T, Wilson G. Leiomyoma of the esophagus. Conn Med 1979;43:483-485.

  11. Cakar M, Gunduz H, Kocayigit I, Gunduz Y, Osken A, Altintoprak F, et al. A case of esophageal leiomyoma causing left atrial compression. Dis Esophagus 2010;23:E16.

  12. Hyun JH, Jeen YT, Chun HJ, Lee HS, Lee SW, Song CW, et al. Endoscopic resection of submucosal tumor of the esophagus: results in 62 patients. Endoscopy 1997;29:165-170.

  13. Solomon M, Rosenblum H, Rosatp F. Leiomyoma of the esophagus. Ann Surg 1984;199:246-248.

  14. Von Rahden BHA, Stein HJ, Feussner H, Siewert JR. Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach. Surg Endosc 2004;18:924-930.

  15. Lee L, Singhal S, Brinster C, Marshall B, Kochman M, Kaiser L. Current management of esophageal leiomyoma. Am Coll Surg 2004;198:136-146.

  16. Glanz I, Grunebaum M. The radiological approach to leiomyoma of the oesophagus with a long-term follow up. Clin Radiol 1977;28:197-200.

  17. Faivre J, Bory R, Moulinier B. Benign tumors of esophagus: value of endoscopy. Endoscopy 1978;10:264-268.

  18. Yang P, Lee K, Lee S, Kim T, Choo I, Shim Y, et al. Esophageal leiomyoma: radiologic findings in 12 patients. Korean J Radiol 2001;2:132-137.

  19. Pérez R, Solórzano F, Choy J. Leiomioma del esófago: a propósito de un caso. Cir Gen 2002;24:225-228.

  20. Cheng B, Chang S, Mao Z, Li M, Huang J, Wang Z, et al. Surgical treatment of giant esophageal leiomyoma. World J Ga􀀀stroenterol 2005;11:4258-4260.

  21. Smith G, Isaacson J, Dempsey M, Falk G. Laparoscopic excision of esophageal leiomyoma through an anterior esophagotomy. Dis Esophagus 2001;14:278-279.

  22. Kent M, d’Amato T, Nordman C, Schuchert M, Landreneau R, Alvelo M, et al. Minimally invasive resection of benign esophageal tumors. J Thorac Cardiovasc Surg 2007;134:176-181.

  23. Palanivelu C, Rangarajan M, Senthilkumar R, Madankumar M. Laparoscopic surgery for an unusual case of dysphagia: lower oesophageal leiomyoma co-existing with achalasia cardia. Singapore Med J 2007;49:e22-e25.

  24. Roviaro GC, Maciocco M, Varoli F, Rebuffat C, Vergani C, Scarduelli A. Video thoracoscopic treatment of esophageal leiomyoma. Thorax 1998;53:190-192.

  25. Pross M, Manger T, Wolff S, Kahl S, Lippert H. Thoracoscopic enucleation of benign tumors of the esophagus under simultaneous flexible esophagoscopy. Surg Endosc 2000;14:1146-1148.

  26. Samphire J, Nafteux P, Luketich J. Minimally invasive technique for resection of benign esophageal tumors. Semin Thorac Cardiovasc Surg 2003;15:35-43.

  27. Bardini R, Asolati M. Thoracoscopic resection of benign tumours of the esophagus. Int Surg 1997;82:5-6.

  28. Hennesey TPJ, Cushieri A. Tumors of the oesophagus. En: Hennesey TPJ, Cushieri A, editors. Surgery of the Oesophagus. London: Butterworth-Heinemann; 1992. pp. 275-327.

  29. Van der Peet DL, Berends FJ, Klinkenberg-Knol EC, Cuesta MA. Endoscopic treatment of benign esophageal tumors: case report of three patients. Surg Endosc 2001;15:1489.

  30. Wu J, Mattox K, Wall M. Esophageal perforations: new perspectives and treatment paradigms. J Trauma 2007;63:1173-1184.

  31. Mafune K, Tanaka Y. Thoracoscopic enucleation of an esophageal leiomyoma with balloon dilator assistance. Surg Today 1997;27:189-192.

  32. Izumi Y, Inoure H, Endo M. Combined endoluminal intracavitary thoracoscopic enucleation of leiomyoma of the esophagus. A new method. Surg Endosc 1996;10:457-458.

  33. Kajiyama T, Sakai M, Torii A. Endoscopic aspiration lumpectomy of esophageal leiomyomas derived from the muscularis mucosae. Am J Gastroenterol 1995;90:417-422.

  34. Pujol J, Parés D, Mora L, Sans M, Jaurrieta E. Diagnosis and management of diffuse leiomyomatosis of the oesophagus. Dis Esophagus 2000;13:169-171.






>Journals >Cirugía y Cirujanos >Year 2011, Issue 6
 

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