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Enhanced Wound Healing after Leiomyoma Enucleation
Masood Amini1, Mohammad Hassan Hashemizadeh1, Seyedeh Leila Poorbaghi2,3
1Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
World Journal of Plastic Surgery
|April 14, 2018
Summary
Esophageal leiomyoma, a rare tumor, requires removal. Sleeve calibration tube (SCT) assisted videothoracoscopic enucleation is a safe, effective surgical approach for these rare esophageal tumors, reducing complications and recovery time.
Area of Science:
- Gastroenterology and Surgical Oncology
- Thoracic Surgery
Background:
- Esophageal leiomyoma is a rare benign tumor, accounting for less than 1% of esophageal malignancies.
- Surgical intervention is recommended for esophageal leiomyomas, even in asymptomatic cases, to prevent potential complications.
Observation:
- This study details two cases of esophageal leiomyoma in adult males presenting with dysphagia.
- Diagnostic evaluations included clinical examination, upper gastrointestinal endoscopy, CT scan, barium swallow, and endoscopic ultrasonography.
- Both patients underwent successful 3-port right videothoracoscopic enucleation with sleeve calibration tube (SCT) assistance.
Findings:
- Immunohistochemistry confirmed leiomyoma, with positive smooth muscle actin, desmin, and Ki67, and negative CD34, CD117, and S100.
- The sleeve calibration tube (SCT) facilitated tumor protrusion, aiding in precise separation from esophageal layers and preventing perforation.
- Post-operative follow-up revealed no complications in either patient, with successful enucleation of masses measuring 3.5x2.5x1 cm and 1.5x1x0.5 cm.
Implications:
- Thoracoscopic enucleation of esophageal leiomyoma using SCT is a safe and feasible procedure.
- SCT assistance enhances tumor detection, simplifies dissection, and potentially reduces operative time and hospitalization.
- This technique offers a minimally invasive option for managing esophageal leiomyomas, improving patient outcomes.
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