title: [Diagnosis and treatment of esophageal leyomyoma].
abstract: Radical operations for benign esophageal leyomyoma were performed in 50 patients in 1976-2006 in the clinic. Highly informative roentgenologic, endoscopic and ultrasonographic (including intraesophageal) methods were applied in the disease diagnosis, permitting to establish the diagnosis, as a rule, accurately before the operation. The diagnosis was verified definitely, basing on intraoperative revision data and the results of express-histologic investigation of the tumor excised. Extramucosal enucleation of benign leyomyoma with plastic closure of esophageal muscle defect or its suturing was done in 33 (66%) patients. Subtotal esophageal resection was performed in 11 (22%) patients, reconstructive operations--in 10 (20%), including in 5 (10%)--retrosternal esophagocolonoplasty, in 2 (4%)--intrathoracic esophagogastroplasty and in 1 (2%)--retrosternal esophagojejunoplasty. In 2 (4%) patients with small benign leyomyoma the esophageal wall portion resection was performed using suturing apparatus and in 1 (2%)--gastrostomy. Postoperative mortality had constituted 2%. Results of treatment were studied in 46 (92%) patients in 1-18 yrs, 4.8 at average. There were no recurrences. The result was estimated as good in 39 (78%) patients and fair--in 7 (14%).
authors.forename: V F
authors.initials: VF
authors.lastname: Saienko
authors.forename: S D
authors.initials: SD
authors.lastname: Miasoiedov
authors.forename: S A
authors.initials: SA
authors.lastname: Andreieshchev
authors.forename: P M
authors.initials: PM
authors.lastname: Kondratenko
authors.forename: M V
authors.initials: MV
authors.lastname: Kostyliev
authors.forename: M S
authors.initials: MS
authors.lastname: Umanets'
authors.forename: A S
authors.initials: AS
authors.lastname: Fediuchek
authors.forename: T Ie
authors.initials: TIe
authors.lastname: Stadil'na
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004938:Esophageal Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D018662:Fundoplication / Q000379:methods*; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome