Thoracoscopic enucleation of a giant submucosal tumor of the esophagus.
Since the introduction of thoracoscopy in the surgical field, many thoracic interventions have been considered feasible via thoracoscopic route. The authors reported a case of thoracoscopic enucleation of a giant esophageal submucosal tumor (8.5 cm in diameter) situated along the left side of the midesophagus. Histopathologic evaluation revealed a gastrointestinal stromal tumor (GIST). Postoperative period was uneventful and the patient was discharged on the eighth postoperative day. Given the well-known advantages of minimally invasive surgery, we assume that the removal of esophageal submucosal tumors can first be attempted by thoracoscopic approach, even if the tumor is of a big size. In cases of histopathologically unknown tumors preoperatively, definitive examination of the complete specimen provides the basis for further therapeutic decisions.
Ertem
Metin
M
Department of General Surgery, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey. metinertem@hotmail.com
Baca
Bilgi
B
Doğusoy
Gülen
G
Ergüney
Sabri
S
Yavuz
Nihat
N
D001707:Biopsy, Needle; D002277:Carcinoma / Q000473:pathology* / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000473:pathology* / Q000601:surgery*; D004945:Esophagoscopy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009367:Neoplasm Staging; D018570:Risk Assessment; D017154:Stromal Cells / Q000473:pathology*; D013906:Thoracoscopy / Q000379:methods*; D016896:Treatment Outcome