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Dzhantukhanova S.V.

Vishnevsky National Medical Research Center of Surgery

Velizade L.A.

People’s Friendship University of Russia

Glotov A.V.

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

Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

Submucosal tunneling endoscopic resection for large esophageal leiomyoma: technical aspects and risk of complications

Authors:

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

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(9): 96‑104

DOI: 10.17116/hirurgia202209196

Read: 4116 times

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Table of contents

SUBMUCOSAL TUNNELING ENDOSCOPIC RESECTION FOR LARGE ESOPHAGEAL LEIOMYOMA: TECHNICAL ASPECTS AND RISK OF COMPLICATIONS
SUBMUCOSAL TUNNELING ENDOSCOPIC RESECTION FOR LARGE ESOPHAGEAL LEIOMYOMA: TECHNICAL ASPECTS AND RISK OF COMPLICATIONS

To cite this article:

Dzhantukhanova SV, Velizade LA, Glotov AV, Starkov YuG. Submucosal tunneling endoscopic resection for large esophageal leiomyoma: technical aspects and risk of complications. Pirogov Russian Journal of Surgery. 2022;(9):96‑104. (In Russ.)
https://doi.org/10.17116/hirurgia202209196

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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Abstract:

We analyzed the technical aspects and risk of possible complications after submucosal tunneling endoscopic resection for large esophageal leiomyoma. A patient with a 4-cm non-epithelial esophageal tumor underwent STER procedure in June 2018. Surgery time was 130 min. There were no intraoperative complications. Postoperative period was complicated with mediastinitis with reactive pneumonia and pleural effusion accompanied by episodes of hyperthermia up to 38°C for 5 days. The patient was discharged in 12 days after complete resolution of pneumonia confirmed by chest X-ray. Contrast-enhanced examination after 3 postoperative days revealed no contrast agent leakage outside the esophagus. The previously applied clips were visualized. Endoscopic examination in 3 months after surgery visualized postoperative scar without signs of deformation and narrowing of the esophagus. No complaints were observed throughout 3.5-year follow-up period.

CONCLUSION

This report demonstrates the advantages of tunnel dissection ensuring organ-sparing procedure with the best functional result. However, intra- and postoperative complications are possible after STER. The risk of complications and complexity of surgery depend on transverse size (>3.5 cm), shape and localization of tumor. Larger neoplasm is accompanied by more difficult surgery and higher risk of complications. Therefore, adequate selection of patients for STER is essential.

Keywords:

submucosal neoplasms of the esophagus
non-epithelial tumor
esophageal leiomyoma
endoscopic treatment
tunnel dissection

Authors:

Dzhantukhanova S.V.

Vishnevsky National Medical Research Center of Surgery

Velizade L.A.

People’s Friendship University of Russia

Glotov A.V.

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

Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

Received:

28.03.2022

Accepted:

14.05.2022

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