Updates in Surgery

, Volume 64, Issue 4, pp 315–318 | Cite as

Laparoscopic excision of esophageal leiomyoma

  • Roberto Gullo
  • Fernando A. M. Herbella
  • Marco G. Patti
Case Report


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.


Esophageal leiomyoma Esophageal tumors Laparoscopic surgery Thoracoscopic surgery Laparoscopic fundoplication 


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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Roberto Gullo
    • 1
  • Fernando A. M. Herbella
    • 2
    • 4
  • Marco G. Patti
    • 3
  1. 1.Department of General, Emergency and Transplant Surgery (GENURTO), Unit of General and Emergency SurgeryUniversity of PalermoPalermoItaly
  2. 2.Department of Surgery, Escola Paulista de MedicinaFederal University of Sao PauloSao PauloBrazil
  3. 3.Department of SurgeryUniversity of Chicago Pritzker School of MedicineChicagoUSA
  4. 4.Division of Esophagus and Stomach, Surgical GastroenterologyHospital Sao PauloSao PauloBrazil

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