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The cervical approach to esophageal leiomyomas
The Annals of Thoracic Surgery
|April 1, 1983
Summary
Enucleation is the preferred treatment for esophageal leiomyoma, the most common benign esophageal tumor. A cervical approach for proximal thoracic esophageal leiomyomata simplifies surgery and avoids thoracotomy complications.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Thoracic Surgery
Background:
- Intramural leiomyoma represents the most frequent benign esophageal neoplasm.
- Standard treatment involves enucleation, preserving mucosal integrity.
- Esophageal resection is seldom required, minimizing the need for extensive surgical exposure.
Observation:
- This report details a straightforward surgical technique for leiomyomata located in the proximal thoracic esophagus.
- The described method utilizes a cervical approach.
- This technique circumvents the morbidity associated with traditional thoracotomy.
Findings:
- The cervical approach offers a technically simple and effective method for removing proximal thoracic esophageal leiomyomata.
- This surgical strategy avoids the complications inherent in thoracotomy.
Implications:
- The cervical approach to leiomyomata of the proximal thoracic esophagus warrants consideration for accessible lesions.
- This technique presents a less invasive alternative to thoracotomy, potentially reducing patient recovery time and complications.
