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

  • B. H. A. von Rahden
  • H. J. Stein
  • H. Feussner
  • J. R. Siewert
Original article

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.

Keywords

Enucleation Laparoscopy Leiomyoma Submucosal tumors of the esophagus Thoracoscopy Thoracotomy 

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • B. H. A. von Rahden
    • 1
  • H. J. Stein
    • 1
  • H. Feussner
    • 1
  • J. R. Siewert
    • 1
  1. 1.Department of SurgeryTechnical University MunichMunichGermany

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