Year 2006 / Volume 98 / Number 5
Original
Surgical treatment of esophageal leiomyoma: an analysis of our experience

pp. 350-358

P. Priego, E. Lobo, G. Rodríguez, N. Alonso, M. A. Gil Olarte, J. Pérez de Oteyza and V. Fresneda

Abstract
Introduction: leiomyoma is the most common benign esophageal neoplasm. Surgical treatment (enucleation) has traditionally
been the therapy of choice. The advent of minimally invasive techniques has produced an increase in endoscopic approaches to the detriment of open surgery.
Objective: the aim of this study was to compare the results obtained with open surgery and with laparoscopic surgery in this
kind of pathology.
Material and methods: we performed a retrospective study of all leiomyomas operated for in our center between 1986 and 2004, and obtained 9 cases of esophageal leiomyoma. Four were
women and five men, between the ages of 40 and 70, with a mean age of 53.5 years. The most frequent symptoms were heartburn
(5 cases), dysphagia (3 cases), and retrosternal pain (3 cases).
Surgery was in all the cases an enucleation. An open approach was performed in 5 cases (3 thoracotomies and 2
laparotomies), and an endoscopic approach in 4 (2 thoracoscopies
and 2 laparoscopies).
Results: the mean postoperative hospital stay was 5.12 days
(range 2-8 days). This was shorter for endoscopic approaches versus
open surgery (3.25 vs. 7 days). There was no case of esophageal
mucosal perforation or reconversion. No death, intraoperative
complication, or tumor relapse was described. Only 2 patients
had complications: post-surgical thoracic pain, and intestinal obstruction
by adhesions 8 years after surgery.
Conclusion: enucleation is an easier procedure and constitutes
the therapy of choice for esophageal leiomyoma. This approach
has to be laparoscopic. We think that muscle borders should
be closed after enucleation, and that biopsy is not indicated preoperatively.
Share Button
New comment
Comments
No comments for this article
Related articles
Citation tools
P. Priego, E. Lobo, G. Rodríguez, N. Alonso, M. A. Gil Olarte, J. Pérez de Oteyza and V. Fresneda. Surgical treatment of esophageal leiomyoma: an analysis of our experience. 350-358


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 172 visits.
This article has been downloaded 1 times.
Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology