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.
Department of General Surgery, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey. metinertem@hotmail.com
Metin
M
Ertem
Bilgi
B
Baca
Gülen
G
Doğusoy
Sabri
S
Ergüney
Nihat
N
Yavuz
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