Alpha 2.0
Login Register
» Articles » PMID: 25460487

Robot Assisted Thoracoscopic Resection of Giant Esophageal Leiomyoma

Overview
Journal Int J Surg Case Rep
Specialty General Surgery
Date 2014 Dec 3
PMID 25460487
Citations 6
Authors
Steven D Compean
Puja Gaur
Min P Kim
Affiliations
Soon will be listed here.
Abstract

Introduction: Esophageal leiomyoma represents the most common benign esophageal tumor. Robot-assisted thoracoscopic surgery has provided ability to remove it successfully using a minimally invasive approach.

Presentation Of Case: A 63-year old female with history of chronic chest pain presented with an esophageal mass on chest CT and endoscopic ultrasound. Robot-assisted surgery was performed using three robot arms, a camera and an assistant port. A 10cm leiomyoma was enucleated and removed through a 2cm myotomy. Completion endoscopy confirmed integrity of the esophagus. Patient's chest pain resolved postoperatively, and she was discharged on postoperative day 3.

Discussion: Our case describes successful removal of the giant esophageal leiomyoma (10cm) by robot assisted minimally invasive resection through a 2cm myotomy.

Conclusion: Use of robot allows for removal of large esophageal leiomyoma. The improved dexterity and patient outcome offered by robot suggests its potential as the mainstay technique for giant esophageal leiomyoma removal.

Citing Articles

Robotic-Assisted Thoracoscopic (RATS) Enucleation of Esophageal Mesenchymal Tumors and Foregut Cysts.

Chen Y, Chen K, Huang P, Kuo S, Lin M, Lee J J Clin Med. 2022; 11(21).

PMID: 36362697 PMC: 9655387. DOI: 10.3390/jcm11216471.

Robotic-assisted surgery for esophageal submucosal tumors: a single-center case series.

Froiio C, Berlth F, Capovilla G, Tagkalos E, Hadzijusufovic E, Mann C Updates Surg. 2022; 74(3):1043-1054.

PMID: 35147859 PMC: 9213313. DOI: 10.1007/s13304-022-01247-z.

Robot-assisted thoracoscopic enucleation for a large esophageal leiomyoma: a case report.

Kemuriyama K, Motoyama S, Sato Y, Wakita A, Nagaki Y, Fujita H Surg Case Rep. 2021; 7(1):129.

PMID: 34037886 PMC: 8155148. DOI: 10.1186/s40792-021-01212-9.

[Leiomyoma of the esophagus : A further indication for robotic surgery?].

Inderhees S, Tank J, Stein H, Dubecz A Chirurg. 2019; 90(2):125-130.

PMID: 30666360 DOI: 10.1007/s00104-019-0792-9.

Laparoscopic approach in the treatment of large leiomyoma of the lower third of the esophagus.

Lipnickas V, Beisa A, Makunaite G, Strupas K Wideochir Inne Tech Maloinwazyjne. 2018; 12(4):437-442.

PMID: 29362660 PMC: 5776493. DOI: 10.5114/wiitm.2017.72327.

References
1.
Khalaileh A, Savetsky I, Adileh M, Elazary R, Abu-Gazala M, Abu Gazala S . Robotic-assisted enucleation of a large lower esophageal leiomyoma and review of literature. Int J Med Robot. 2013; 9(3):253-7. DOI: 10.1002/rcs.1484. View
2.
Augustin F, Schmid T, Bodner J . The robotic approach for mediastinal lesions. Int J Med Robot. 2007; 2(3):262-70. DOI: 10.1002/rcs.84. View
3.
Elli E, Espat N, Berger R, Jacobsen G, Knoblock L, Horgan S . Robotic-assisted thoracoscopic resection of esophageal leiomyoma. Surg Endosc. 2004; 18(4):713-6. DOI: 10.1007/s00464-003-8829-y. View
4.
Mutrie C, Donahue D, Wain J, Wright C, Gaissert H, Grillo H . Esophageal leiomyoma: a 40-year experience. Ann Thorac Surg. 2005; 79(4):1122-5. DOI: 10.1016/j.athoracsur.2004.08.029. View
5.
DeUgarte D, Teitelbaum D, Hirschl R, Geiger J . Robotic extirpation of complex massive esophageal leiomyoma. J Laparoendosc Adv Surg Tech A. 2008; 18(2):286-9. DOI: 10.1089/lap.2007.0067. View