Journal of Robotic Surgery

, Volume 11, Issue 2, pp 267–269 | Cite as

The robotic approach for enucleation of a giant esophageal lipoma

  • Cheng-Hung How
  • Jang-Ming LeeEmail author
Case Report


An 87-year-old man, who had been experiencing progressive dysphagia and slight chest discomfort for 12 months, presented for an esophagram with a diagnosis of achalasia. A giant esophageal lipoma (14.5- × 4.5- × 3.5-cm) that caused symptomatic dysphagia and a dilated esophagus was revealed by computed tomography and endoscopic esophageal ultrasound. For such a huge esophageal lipoma in a geriatric patient, we successfully enucleated the mediastinal lesion via a minimally invasive approach using the da Vinci S Surgical System.


Esophageal surgery Esophagus, benign disease Robotics 



The authors thank Dr. Hsin-I Huang and Prof. Yung-Ming Jen, Department of Pathology, National Taiwan University Hospital, Taipei, Taiwan, for providing consultation about the histopathological interpretations and images.

Compliance with ethical standards

Conflict of interest

Cheng-Hung How and Jang-Ming Lee declare that they have no conflict of interest.

Informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.


  1. 1.
    Feldman J, Tejerina M, Hallowell M (2012) Esophageal lipoma: a rare tumor. J Radiol Case Rep 6(7):17–22. doi: 10.3941/jrcr.v6i7.1015 PubMedPubMedCentralGoogle Scholar
  2. 2.
    Mutrie CJ, Donahue DM, Wain JC, Wright CD, Gaissert HA, Grillo HC, Mathisen DJ, Allan JS (2005) Esophageal leiomyoma: a 40-year experience. Ann Thorac Surg 79(4):1122–1125. doi: 10.1016/j.athoracsur.2004.08.029 CrossRefPubMedGoogle Scholar
  3. 3.
    Kajiwara N, Kakihana M, Kawate N, Ikeda N (2011) Appropriate set-up of the da Vinci Surgical System in relation to the location of anterior and middle mediastinal tumors. Interact Cardiovasc Thorac Surg 12(2):112–116. doi: 10.1510/icvts.2010.251652 CrossRefPubMedGoogle Scholar
  4. 4.
    von Rahden BH, Stein HJ, Feussner H, Siewert JR (2004) Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach. Surg Endosc 18(6):924–930. doi: 10.1007/s00464-003-9130-9 CrossRefGoogle Scholar
  5. 5.
    Tsalis K, Antoniou N, Kalfadis S, Dimoulas A, Dagdilelis AK, Lazaridis C (2013) Laparoscopic enucleation of a giant submucosal esophageal lipoma. Case report and literature review. Am J Case Rep 14:179–183. doi: 10.12659/AJCR.883928 CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Kent M, d’Amato T, Nordman C, Schuchert M, Landreneau R, Alvelo-Rivera M, Luketich J (2007) Minimally invasive resection of benign esophageal tumors. J Thorac Cardiovasc Surg 134(1):176–181. doi: 10.1016/j.jtcvs.2006.10.082 CrossRefPubMedGoogle Scholar
  7. 7.
    Melotti G, Piccoli M, Mullineris B, Varoli M, Colli G, Gozzo D, Smerieri N, Surendra N, Caruso A, Conigliaro R, Frazzoni M (2015) Zenker diverticulectomy: first report of robot-assisted transaxillary approach. J Robot Surg 9(1):75–78. doi: 10.1007/s11701-014-0492-x CrossRefPubMedGoogle Scholar
  8. 8.
    Khalaileh A, Savetsky I, Adileh M, Elazary R, Abu-Gazala M, Abu Gazala S, Schlager A, Rivkind A, Mintz Y (2013) Robotic-assisted enucleation of a large lower esophageal leiomyoma and review of literature. Int J Med Robot Comput Assist Surg MRCAS 9(3):253–257. doi: 10.1002/rcs.1484 CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2016

Authors and Affiliations

  1. 1.Division of Thoracic Surgery, Department of SurgeryFar Eastern Memorial HospitalNew Taipei CityTaiwan
  2. 2.Division of Thoracic Surgery, Department of SurgeryNational Taiwan University Hospital and National Taiwan University College of MedicineTaipeiTaiwan

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