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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.
Department of General, Emergency and Transplant Surgery (GENURTO), Unit of General and Emergency Surgery, University of Palermo, Palermo, Italy.
This article was published in the following journal.
Name: Updates in surgery
Leiomyoma of the bladder is a very rare disorder that accounts for 0.43% of all bladder neoplasms. Although the pathophysiology of the bladder leiomyoma is unknown, there are some theories in it. The ...
Long-term Outcomes of Single-Site Laparoscopic Colectomy With Complete Mesocolic Excision for Colon Cancer: Comparison With Conventional Multiport Laparoscopic Colectomy Using Propensity Score Matching.
Complete mesocolic excision has been suggested to improve oncological outcomes for patients with colon cancer. However, the long-term outcomes of single-site laparoscopic colectomy with complete mesoc...
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Achalasia is an esophageal motility disorder, of unknown cause, which results in increased lower esophageal sphincter tone and symptoms of difficulty swallowing. Current major therapeutic options incl...
This study compared robot-assisted total mesorectal excision (RTME) and laparoscopic total mesorectal excision (LTME) with regard to urinary function, sexual function and sphincter- preser...
This study compares complete dissection of the tissue around the lower esophagus to no dissection of these tissues during laparoscopic fundoplication in children.
Two hundred women aged from 20 to 35 years undergoing conservative laparoscopic treatment of ovarian endometriomas (either by drainage or cyst wall excision) were included. Participants we...
Improved pain, sexuality and quality of life, high fertility and low complication and recurrence rates after multidisciplinary CO2 laser laparoscopic excision of deep infiltrating colorect...
A prospective study is planned for managment of low rectal cancer with the aim of sphincter preservation and improving the oncological outcome of the patients, through comparing of both ap...
Excision of the gallbladder through an abdominal incision using a laparoscope.
Excision, in part or whole, of an intervertebral disk. The most common indication is disk displacement or herniation. In addition to standard surgical removal, it can be performed by percutaneous diskectomy (DISKECTOMY, PERCUTANEOUS) or by laparoscopic diskectomy, the former being the more common.
A relatively rare smooth muscle tumor found most frequently in the wall of the gastrointestinal tract, especially in the stomach. It is similar to other smooth muscle tumors but may become very large and hemorrhage and exhibit small cystic areas. Simple excision is almost always curative. (From Dorland, 27th ed; DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, p1354)
A pathological condition characterized by the presence of a number of ESOPHAGEAL DIVERTICULA in the ESOPHAGUS.
Circular innermost layer of the ESOPHAGUS wall that mediates esophageal PERISTALSIS which pushes ingested food bolus toward the stomach.
Barrett’s esophagus is a condition in which the tissue lining the esophagus—the muscular tube that carries food and liquids from the mouth to the stomach—is replaced by tissue that is similar to the intestinal lining. This process is ca...