Abstract
In consideration of the fact that procedures performed thoracoscopically cause less operative trauma and postoperative pain than those performed through an open thoracotomy, we believe that thoracoscopy should replace thoracotomy for the extraluminal transthoracic resection of benign esophageal tumors. We describe herein a new videothoracoscopic technique for performing the enucleation of an esophageal leiomyoma with balloon dilator assistance. The use of the balloon dilator facilitates separation of the tumor from both the mucosal and muscular layers of the esophagus, and may help to prevent perforation.
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Moersch HJ, Herrington SW (1944) Benign tumor of the esophagus. Ann Otol Rhinol Laryngol 53:800–817
Plachta A (1962) Benign tumors of the esophagus. Am J Gastroenterol 38:639–652
Skinner DB, Belsey RHR (1988) Benign tumor of the esophagus. In: Skinner DB, Belsey RHR (eds) Management of esophageal disease. Saunders, Philadelphia, pp 717–727
Eda Y, Asaki S, Yamagata L (1990) Endoscopic treatment for submucosal tumors of the esophagus: studies in 25 patients. Gastroenterol Jpn 25:411–416
Krasna MJ, Flowers JL (1991) Diagnostic thoracoscopy in a patient with pleural mass. Surg Laparosc Endosc, 1:94–97
Krasna MJ, Nazem A (1991) Thoracoscopic lung resection: use of the linear endoscopic stapler. Surg Laparose Endosc 1:248–250
Massad M, LoCicero J, Mantano J, Oba J, Greene R, Gilbert J, Hartz R (1991) Endoscopic thoracic sympathectomy. Lasers Surg Med 11:18–25
Krasna MJ, Fiocco M (1992) Thoracoscopic pericardiectomy. Surg Laparosc Endosc 2:251–254
Krasna MJ, McLaughlin (1993) Thoracoscopic lymph node staging for esophageal cancer. Ann Thoracic Surg 56:671–674
Pellegrini C, Wetter A, Patti M, Leichter R, Mussan G, Mori T, Bernstein G, Way L (1992) Thoracoscopic esophagomyotomy: initial experience with a new approach for the treatment of achalasia. Ann Surg 216:291–299
Everitt NJ, Glinatsis M, McMahon MJ (1992) Thoracoscopic enucleation of leiomyoma of the oesophagus Br J Surg 79:643
Bardini R, Segalin A, Ruol A, Pavanello M, Peracchia A (1992) Videothoracoscopic enucleation of esophageal leiomyoma. Ann Thorac Surg 54:576–577
Bardini R, Segalin A, Asolati M, Bonavia L, Pavanello M (1993) Thoracoscopic removal of benign tumours of the oesophagus. End Surg 1:277–279
Gossot D, Fourquier P, El Meteini M, Celerier M (1993) Technical aspects of endoscopic removal of benign tumors of the esophagus. Surg Endosc 7:102–103
Cuschieri A (1993) Endoscopic subtotal esophagectomy for cancer using the right thoracoscopic approach. Surg Oncol 2 [Suppl]:3–11
Azagra JS, Centerick M, Goergen M, Jacobs D, Gilbart E, Zaouk G, Carlier E, Lejeune P, Alle JL, Mathys M (1993) Thoracoscopy in oesophagectomy for oesophageal cancer. Br J Surg 80:320–321
Gossot D, Fourquier P, Gelerier M (1993) Thoracoscopic esophagectomy: technique and initial results. Ann Thorac Surg 56:667–670
Collard J-M, Lengele B, Otte J-B, Kestens PJ (1993) En bloc and standard esophagectomies by thoracoscopy. Ann Thorac Surg 56:675–679
Altorki N, Sugimura M, Migliore M, Skinner DB (1991) Benign esophageal tumors. Dis Esoph 1:15–19
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Mafune, KI., Tanaka, Y. Thoracoscopic enucleation of an esophageal leiomyoma with balloon dilator assistance. Surg Today 27, 189–192 (1997). https://doi.org/10.1007/BF02385915
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DOI: https://doi.org/10.1007/BF02385915