Thoracoscopic enucleation of a large esophageal leiomyoma. Technical features of the operation on the example of clinical observation and literature analysis

Dzhantukhanova S.V.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0002-8657-8609

Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0003-4722-3466

Velizade L.A.

People’s Friendship University of Russia

Shirokov V.S.

Vishnevsky National Medical Research Center for Surgery

Glotov A.V.

National Medical Research Center of Surgery named after A.V. Vishnevsky of Ministry of health of the Russian Federation

Thoracoscopic enucleation of a large esophageal leiomyoma. Technical features of the operation on the example of clinical observation and literature analysis

Authors:

Dzhantukhanova S.V., Starkov Yu.G., Velizade L.A., Shirokov V.S., Glotov A.V.

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Journal: Endoscopic Surgery. 2022;28(5): 33‑41

DOI: 10.17116/endoskop20222805133

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To cite this article:

Dzhantukhanova SV, Starkov YuG, Velizade LA, Shirokov VS, Glotov AV. Thoracoscopic enucleation of a large esophageal leiomyoma. Technical features of the operation on the example of clinical observation and literature analysis. Endoscopic Surgery. 2022;28(5):33‑41. (In Russ.)
https://doi.org/10.17116/endoskop20222805133

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OBJECTIVE

The aim of the study: to demonstrate the technical aspects and analyze the risk of possible complications after thoracoscopic removal of a large esophageal leiomyoma.

MATERIAL AND METHODS

A 35-year-old patient was examined with suspected coronavirus infection COVID-19. CT scan of the chest was performed, which revealed as a diagnostic finding: a neoplasm at the level of the lower third of the thoracic esophagus about 6 cm in size. Esophageal endosonography and EUS typing revealed an extraluminal type of tumor growth, and therefore thoracoscopic enucleation of a large esophageal leiomyoma was performed.

RESULTS

The time of surgery was 115 minutes. The postoperative period was uneventful. The patient was discharged on the postoperative 6th day after the restoration of oral nutrition. In the long-term period with a follow-up period of 24 months, control studies (EGD, CT scan of the chest) did not reveal the presence of a diverticulum and stenosis of the esophagus at the site of surgery. At the moment, patient has no complaints.

CONCLUSION

This clinical case demonstrates the advantages of thoracoscopic approach in enucleation esophageal leiomyoma with extraluminal type of growth.

Keywords:

submucosal neoplasm of the esophagus

Authors:

Dzhantukhanova S.V.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0002-8657-8609

Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0003-4722-3466

Velizade L.A.

People’s Friendship University of Russia

Shirokov V.S.

Vishnevsky National Medical Research Center for Surgery

Glotov A.V.

National Medical Research Center of Surgery named after A.V. Vishnevsky of Ministry of health of the Russian Federation

Received:

27.05.2022

Accepted:

11.07.2022

List of references:

Jiang G, Zhao H., Yang F, Li J, Li Y, Liu Y, Liu J, Wang J. Thoracoscopic enucleation of esophageal leiomyoma: a retrospective study on 40 cases. Dis Esophagus. 2009;22(3):279-283. https://doi.org/10.1111/j.1442-2050.2008.00883.x
Hadi Mutairi, Mohammad Al-Akkad, Mussarat Afzal, Ikram Chaudhry. Giant leiomyoma of the esophagus with eosinophilic infiltration. BMJ Case Rep. 2013;13:1-3. https://doi.org/10.1136/bcr-2013-201343
Yalin Iscan, Fatih Tunca, Yasemin G. Senyurek, Serdar Tezelman, FACS, Tarık Terzioglu. Thoracoscopic Enucleation of a Giant Leiomyoma of the Esophagus. Surg Laparosc Endosc Percutan Tech. 2013;23(1):32-34. https://doi.org/10.1097/SLE.0b013e318275b2a3
Esther Ern-Hwei Chan, Thirugnanam Agasthian Left video-assisted thoracoscopic enucleation of a giant horseshoe oesophageal leiomyoma. J Vis Surg. 2017;3:63. https://doi.org/10.21037/jovs.2017.03.19
László Andrási, Zoltán Szepes, László́ Tiszlavicz, György Lázár and Attila Paszt Complete laparoscopic-transhiatal removal of duplex benign oesophageal tumour: case report and review of literature. BMC Gastroenterol. 2021;21(1):47. https://doi.org/10.1186/s12876-021-01625-8
Steven D, Compean, Puja Gaur, Min P Kim. Robot assisted thoracoscopic resection of giant esophageal leiomyoma. Int J Surg Case Rep. 2014;5(12):1132-1134. https://doi.org/10.1016/j.ijscr.2014.11.003
Čestmír Neoral, René Aujeský, Jozef Škarda, Radek Vrba, Josef Chudáček, Tomáš Bohanes, Katherine Vomáčková. Thoracoscopic treatment of benign esophageal tumors. Wideochir Inne Tech Maloinwazyjne. 2012;7(4):294-298. https://doi.org/10.5114/wiitm.2011.30817
Starkov YuG, Solodinina EN, Dzhantukhanova SV, Vyborniy MI, Lukich KV, Zamolodchikov RD. Classification of non-epithelial tumors of the upper gastrointestinal tract for the choice of surgical intervention. Povolzhskii onkologicheskii vestnik. 2017;5(32):45-50. (In Russ.).
Sufang T, Silin H, Guohua L, Xiaowei T, Haitao Q, Qiaoping G, Jingwen F, Guoping D, Wei G. Submusal tunnel endoscopic resection for esophageal Submucosal tumors: a multicenter study. Hindawi Gastroenterol Res Pract. 2018;2:1-7. https://doi.org/10.1155/2018/2149564
Rijcken E, Kersting CM, Senninger N, Bruewer M. Esophageal resection for giant leiomyoma: report of two cases and a review of the literature. Langenbecks Arch Surg. 2009;394:623-629. https://doi.org/10.1007/s00423-008-0365-8
Simoglou C., Mikroulis D, Konstantinou F, Elefteriadis S, Bougioukas G. Large diameter oesophageal leiomyomas. Hellenic J Surg. 2015;87:268-270.
Duc Nhan Le, Vinh Hieu Nguyen, Thi Nga Duong, Trong Vu Than. Complete thoracoscopic enucleation of the esophageal leiomyoma at the level of the azygos vein: A case report. Int J Surg Case Rep. 2021;88:106537. https://doi.org/10.1016/j.ijscr.2021.106537
XiaoXing Hu and Hui Lee Complete thoracoscopic enucleation of giant leiomyoma of the esophagus: a case report and review of the literature. J Cardiothorac Surg. 2014;9:34. https://doi.org/10.1186/1749-8090-9-34
Masood Amini, Mohammad Hassan Hashemizadeh, Seyedeh Leila. Poorbaghi Enhanced Wound Healing after Leiomyoma Enucleation. World J Plast Surg. 2018;7(1):122-127.
Saleh WN, Bamosa A, Al-Mutairi H, Al-Kattan KM: Thoracoscopic enucleation of esophageal leiomyoma in patient with MEN I syndrome. Ann Thorac Med. 2010;5(1):47-49. https://doi.org/10.4103/1817-1737.58960
Zhao Y, Cai KC, Liu DG, Wu H, Xiong G, Wang HF, Huang ZY, Cai RJ, Wu X: Video-assisted thoracoscopic removal of esophageal leiomyomas with intraoperative tumor location by endoscopy. Nan Fang Yi Ke Da Xue Xue Bao. 2012;32(4):586-588.
Kent M, d’Amato T, Nordman C. Minimally invasive resection of benign esophageal tumors. J Thorac Cardiovasc Surg. 2007;134:176-181. https://doi.org/10.1016/j.jtcvs.2006.10.082
Cheng BC, Chang S, Mao ZF, Li MJ, Huang J, Wang ZW, Wang TS: Surgical treatment of giant esophageal leiomyoma. World J Gastroenterol. 2005;11(27):4258-4260. https://doi.org/10.3748/wjg.v11.i27.4258
Aurea P, Grazia M, Petrella F, Bazzocchi R: Giant leiomyoma of the esophagus. Eur J Cardiothorac Surg. 2002;22:1008-1010. https://doi.org/10.1016/s1010-7940(02)00569-9
Bonavina L, Segalin A, Rosati R, Pavanello M, A Peracchia Surgical therapy of esophageal leiomyoma. J Am Coll Surg. 1995;181:257-262.
Von Rahden BH, Stein HJ, Feussner H, Siewert JR. Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach. Surg Endosc. 2004;18:924-930. https://doi.org/10.1007/s00464-003-9130-9

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