[Excision of esophageal leiomyoma using videothoracoscopy]

We report the case of a 57 years old male patient presenting with pyrosis and dysphagia. A mid-third esophageal leiomyoma was diagnosed. The tumour was resected through a right video-thoracoscopic approach and simultaneous intraoperative esophagoscopy was performed. The postoperative course was uneventful and six months after surgery neither relapsing symptoms nor radiologic pathological findings were observed. We consider that symptomatic leiomyoma is a good indication for video-assisted thoracoscopic enucleation. The possible postoperative complications (esophageal fistula, esophageal pseudodiverticulum) may be minimized by means of an adequate surgical technique.