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Laparoscopic excision of esophageal leiomyoma

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Abstract

Esophageal leiomyoma is the most common benign tumor of the esophagus. The lower and middle thirds of the esophagus are the most frequent locations of these tumors and in about one-third of the patients they occur at the level of the gastroesophageal junction. They are less than 5 cm in size in 50% of the patients. A left thoracotomy, thoracoscopy or a laparoscopic approach can be used for lesions in the lower third of the esophagus. Esophageal leiomyomas should be considered for resection when symptomatic. Preoperative evaluation allows precise characterization of the diagnosis and location. Minimally invasive surgery is considered today the treatment of choice with the laparoscopic approach used for distal tumors. We present the case of a 63-year-old woman with an esophageal leiomyoma located above the gastroesophageal junction who underwent a successful laparoscopic excision of the tumor.

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Authors and Affiliations

  1. Department of General, Emergency and Transplant Surgery (GENURTO), Unit of General and Emergency Surgery, University of Palermo, Palermo, Italy

    Roberto Gullo

  2. Department of Surgery, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil

    Fernando A. M. Herbella

  3. Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, USA

    Marco G. Patti

  4. Division of Esophagus and Stomach, Surgical Gastroenterology, Hospital Sao Paulo, Rua Diogo de Faria 1087 cj 301, Sao Paulo, SP 04037-003, Brazil

    Fernando A. M. Herbella

Authors
  1. Roberto Gullo
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  2. Fernando A. M. Herbella
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  3. Marco G. Patti
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Correspondence to Fernando A. M. Herbella.

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Gullo, R., Herbella, F.A.M. & Patti, M.G. Laparoscopic excision of esophageal leiomyoma. Updates Surg 64, 315–318 (2012). https://doi.org/10.1007/s13304-011-0108-1

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  • DOI: https://doi.org/10.1007/s13304-011-0108-1

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