The robotic approach for enucleation of a giant esophageal lipoma
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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.
KeywordsEsophageal 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.
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.
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