Leiomiomas do esôfago removidos por vídeo-toracoscopia

Leiomiomas do esôfago removidos por vídeo-toracoscopia

Alternative title Videothoracoscopic resection of esophageal leiomyomas
Author Azevedo, João Luiz Moreira Coutinho Autor UNIFESP Google Scholar
Boulez, Jean Google Scholar
Azevedo, Otávio Cansanção Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Universidade Claude Bernard
Universidade Claude Bernard Faculdade de Medicina Departamento de Cirurgia Geral e Digestiva
Hospital do Servidor Público do Estado de São Paulo
Abstract This report describes three cases of esophageal leiomyomas successfully resected by thoracoscopy. Surgical enucleation through minimally invasive surgery is the treatment of choice for esophageal leiomyoma. The conventional approach through a formal thoracotomy has the potential of causing excessive pain and patient discomfort. Moreover, the hospital stay and the recovery period are prolonged. Indications for surgery were based mainly on the size of the mass (<4 cm) and the presence of dysphagia. In one case there was a clear suspicion of malignancy. The tumour was located in the lower thoracic esophagus (case 1), in the middle thoracic esophagus (case 2) and in the upper esophagus (case 3). The CT was useful in identifying the relationship between the lesion and the organs of the mediastinum. The barium swallow study was able to locate the lesion along the esophagus. The endosonography determined the boundaries of the lesions. A right thoracoscopic approach was undertaken. Dissection of the esophagus around its entire perimeter was never necessary because all tumours were anterior or right sided. The tumours were better grasped with a traction suture than with forceps. The hidrodissection was very helpful. The water-soluble contrast swallow, performed on the fourth postoperative day, was normal. Clinical results were satisfactory in all patients. Biopsies should never be performed when the mucosa overlying is normal.
Keywords Thoracic surgery
Esophageal surgery
Surgical techniques
Benign esophageal neoplasms
Benign neoplasm
Language Portuguese
Date 2000-02-01
Published in Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 27, n. 1, p. 60-62, 2000.
ISSN 0100-6991 (Sherpa/Romeo)
Publisher Colégio Brasileiro de Cirurgiões
Extent 60-62
Origin http://dx.doi.org/10.1590/S0100-69912000000100015
Access rights Open access Open Access
Type Article
SciELO ID S0100-69912000000100015 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/903

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