| Leiomioma de esofago. |
| Loviscek, Luis F; Yun, Jong Hyoun; Park, Yoo Sun; Chiari, Ariel; Grillo, Cristian; Cenoz, Maria C; |
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| Seccion Cirugia Esofagica, Departamento de Cirugia, Hospital Pirovano, Ciudad de Buenos Aires, Argentina. lovisceklf@yahoo.com.ar |
| INTRODUCTION: Oesophageal leiomyoma is a rare tumour. The purpose of this paper is to describe the form of presentation, the approaches and the surgical technique, in five consecutive cases. MATERIAL AND METHOD: A retrospective analysis was performed on the data recorded prospectively on five consecutive patients operated on between 2003 and 2007. RESULTS: All the patients were seen due to dysphagia to solids. All were examined with contrast radiology, video-endoscopy and computed tomography, although 4 of them also had ultrasound endoscopy performed. The surgical technique was extra-mucosal enucleation, with 3 cases by thoracoscopy and 2 by thoracotomy. There were no complications. The immunohistochemistry study was negative for CD117 and CD34 in all cases. CONCLUSIONS: Enucleation of oesophageal leiomyomas by video-thoracoscopy is safe, well tolerated, and there is a rapid recovery, and is the procedure of choice for this benign tumour. Thoracotomy may be necessary in some presentations and locations. |
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