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Surgical Endoscopy
Published in: Surgical Endoscopy 6/2004

01-06-2004 | Original article

Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach

Authors: B. H. A. von Rahden, H. J. Stein, H. Feussner, J. R. Siewert

Published in: Surgical Endoscopy | Issue 6/2004

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Abstract

Background

Surgical enucleation of submucosal tumors (SMTs) of the esophagus (mostly leiomyomas) is indicated when either the tumors are symptomatic or their biological behavior is unclear. The classic approach is a thoracotomy, but tumor enucleation can now also be performed via thoracoscopy or, for distal tumors, via laparoscopy.

Methods

We assessed our experience with the different approaches in a total of 25 patients (n = 13 minimally invasive approach and n = 12 open surgery). Enucleation of the SMT was the basic surgical principle; the choice of the approach was based on the preference of the surgeon.

Results

Compared to open surgery, the minimally invasive approach reduced pulmonary complications, hospital stay, and postoperative wound-related pain. The operating time was the same for both approaches.

Conclusion

Minimally invasive approaches are suitable for the surgical enucleation of submucosal esophageal tumors. Thoracoscopic and laparoscopic techniques are recommended as standard procedures in experienced centers.
Literature
1.
Alvarez Fernandez-Represa, J, Ortiz-Oshiro, E, Mayol, J, Peromingo, R, Perez Contin, MJ 1996Excision of esophageal leiomyoma using videothoracoscopy.Rev Esp Enferm Dig88799800PubMed
2.
Bardini, R, Asolati, M 1997Thoracoscopic resection of benign tumours of the esophagus.Int Surg8256PubMed
3.
Bardini, R, Segalin, A, Asolati, M, Bonavina, L, Pavanello, M 1993Thoracoscopic removal of benign tumors of the oesophagus.Endosc Surg1277279
4.
Bardini, R, Segalin, A, Ruol, A, Pavanello, M, Peracchia, A 1992Videothoracoscopic enucleation of esophageal leiomyoma.Ann Thorac Surg54576577CrossRef
5.
Bonavina, L, Segalin, A, Rosati, R, Pavanello, M, Peracchia, A 1995Surgical therapy of esophageal leiomyoma.J Am Coll Surg181257262PubMed
6.
Bryan, AJ, Bucharan, IAF, Wells, FC 1990Saccular esophageal diverticulum at the site of enucleation of a leiomyoma.Eur J Cardiothorac Surg4624625CrossRef
7.
Chan, AC, Chung, SC 1997Endoscopic surgery of the oesophagus.Eur J Gastroenterol Hepatol9761765CrossRef
8.
Cox, MA, Cooper, BT, Sagas, G 1995Endoscopy and computed tomography in the diagnosis and follow-up of esophageal leiomyoma.Gut37288291CrossRef
9.
de Csepel, J, Jossart, G, Salky, BA 2001Laparoscopic resection of an extraesophageal leiomyoma presenting as an intra-abdominal mass.Surg Laparosc Endosc Percutan Tech11116118PubMed
10.
Everitt, NJ, Glinatsis, M, McMahon, MJ 1992Thoracoscopic enucleation of leiomyoma of the oesophagus.Br J Surg79643CrossRef
11.
Gossot, D, Fourquier, P 1993Thoracoscopic resection of benign intramural tumors of the esophagus.Gastroenterol Clin Biol17215217PubMed
12.
Gossot, D, Fourquier, P, el Meteini, M, Celerier, M 1993Technical aspects of endoscopic removal of benign tumors of the esophagus.Surg Endosc7102103CrossRef
13.
Hurley, JP, McCarthy, J, Wood, AE 1993Video assisted thoracic surgery.Ir J Med Sci162466468CrossRef
14.
Infante, M, Alloisio, M, Massone, PB, Ravasi, G 2001Thoracoscopic resection of an esophageal stromal tumor through the left pleural cavity.Surg Laparosc Endosc Percutan Tech11273276CrossRef
15.
Izumi, Y, Inoue, H, Endo, M 1996Combined endoluminal–intracavitary thoracoscopic enucleation of leiomyoma of the esophagus.A new method. Surg Endosc10457458CrossRef
16.
Izumi, Y, Inoue, H, Takeshita, K, Kawano, T, Yoshino, K, Endo, M 1995Thoracoscopic enucleation of leiomyoma of the esophagus—report of two cases.Nippon Kyobu Geka Gakkai Zasshi43216220PubMed
17.
Kondoh, K, Mitsui, A, Kasugai, T, Urakami, T 1997Thoracoscopic surgery for benign esophageal diseases.Kyobu Geka50838843PubMed
18.
Mafune, K, Tanaka, Y 1997Thoracoscopic enucleation of an esophageal leiomyoma with balloon dilator assistance.Surg Today27189192CrossRef
19.
Marmuse, JP, Johanet, H, Louvent, F, Benhamou, G 1994Leiomyomas of the lower third of the esophagus: value of transhiatal enucleation.Ann Chir48446451PubMed
20.
Miettinen, M, Sarlomo-Rikala, M, Sobin, LH, Lasota, J 2000Esophageal stromal tumors: a clinicopathologic, immunohistochemical, and molecular genetic study of 17 cases and comparison with esophageal leiomyomas and leiomyosarcomas.Am J Surg Pathol24211222CrossRef
21.
Nguyen, NT, Alcocer, JJ, Luketich, JD 2000Thoracoscopic enucleation of an esophageal leiomyoma.J Clin Gastroenterol318990CrossRef
22.
Peracchia, A, Fumagalli, U, Rosati, R 1994Thoracoscopic techniques in treatment of esophageal diseases.Chirurg65671676PubMed
23.
Postlethwaite, RW 1983Benign tumors and cysts of the esophagus.Surg Clin North Am63925931CrossRef
24.
Pross, M, Manger, T, Wolff, S, Kahl, S, Lippert, H 2000Thoracoscopic enucleation of benign tumors of the esophagus under simultaneous flexible esophagoscopy.Surg Endosc1411461148CrossRef
25.
Roviaro, GC, Maciocco, M, Varoli, F, Rebuffat, C, Vergani, C, Scarduelli, A 1998Videothoracoscopic treatment of oesophageal leiomyoma.Thorax53190192CrossRef
26.
Rusher, AH, Davis, K, Phillips, D, Wiggins, L 2001Open versus thoracoscopic removal of left-sided mid-esophageal leiomyoma.J Ark Med Soc97247249PubMed
27.
Salo, JA, Kiviluoto, T, Heikkila, L, Perhoniemi, V, Lamminen, A, Kivilaakso, E 1993Enucleation of an intramural lipoma of the oesophagus by videothoracoscopy.Ann Chir Gynaecol826669PubMed
28.
Schmid, RA, Schob, OM, Klotz, HP, Vogt, P, Weder, W 1997VATS resection of an oesophageal leiomyoma in a patient with neurofibromatosis Recklinghausen.Eur J Cardiothorac Surg12659662CrossRef
29.
Seremetis, M, Lyons, W, DeGuzman, V, Peabody, J 1976Leiomyomata of the esophagus.Cancer3821662177CrossRef
30.
Smith, GS, Isaacson, JR, Dempsey, MB, Falk, GL 2001Laparoscopic excision of esophageal leiomyoma through an anterior esophagotomy.Dis Esophagus14278279CrossRef
31.
Takada, N, Higashino, M, Osugi, H, Tokuhara, T, Kinoshita, H 1999Utility of endoscopic ultrasonography in assessing the indications for endoscopic surgery of submucosal esophageal tumors.Surg Endosc13228230CrossRef
32.
Takernura, M, Higashino, M, Osugi, H, Tokuhara, T, Takada, N, Kinoshita, H 1997Thoracoscopic enucleation of esophageal leiomyomal.Nippon Kyobu Geka Gakkai Zasshi4516061611
33.
Tamura, K, Takamori, S, Tayama, K, Mitsuoka, M, Hayashi, A, Fujita, H, Shirouzu, K 1998Thoracoscopic resection of a giant leiomyoma of the esophagus with a mediastinal outgrowth.Ann Thorac Cardiovasc Surg4351353PubMed
34.
Taniguchi, E, Kamiike, W, Iwase, K, Nishida, T, Akashi, A, Ohashi, S, Matsuda, H 1997Thoracoscopic enucleation of a large leiomyoma located on the left side of the esophageal wall.Surg Endosc11280282CrossRef
35.
Tosato, F, Vasapollo, L, Passaro, U, Scocchera, F, Carnevale, L, Tosato, M, Corsini, F, Marano, S, Palermo, S, Paolini, A, Fegiz, G 1999Surgery of dysphagic diseases. Personal experience (349 surgical interventions).Minerva Chir54869884PubMed
36.
Eijkelenburg, P, Bove, T, Peters, O, Delvaux, G, Willems, G 1996Thoracoscopic removal of a leiomyoma of the oesophagus: a case report.Acta Chir Belgium96223225
Metadata
Title
Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach
Authors
B. H. A. von Rahden
H. J. Stein
H. Feussner
J. R. Siewert
Publication date
01-06-2004
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 6/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-9130-9

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