title: Leiomyoma of the esophagus: open versus thoracoscopic enucleation.
abstract: OBJECTIVE
  To describe a novel, easy, and secure thoracoscopic surgical approach for esophageal leiomyomas.
  
  
  METHODS
  We retrospectively analyzed 18 cases in which patients were treated at a single center between 1991 and 2011 for esophageal leiomyoma. We compared our results of patients who were treated by open surgery with those who were treated by the thoracoscopic approach, and we also compared our results with the results of resection of the leiomyoma of the esophagus in the literature.
  
  
  RESULTS
  Eighteen patients were studied. Eight patients were treated with 3-port thoracoscopic surgery, 8 with open thoracotomy, 1 with surgical incision, and 1 with esophagectomy. The mean operating time was 167.5 min and 92.5 min in the thoracotomy and thoracoscopy groups, respectively (P = 0.0012). The average hospital stay was 9 days and 6 days for the thoracotomy and thoracoscopy groups, respectively (P = 0.016). Rupture of esophageal mucosa occurred preoperatively once in both groups and was repaired immediately, and postoperative esophageal leak was not seen in any patient.
  
  
  CONCLUSIONS
  Thoracoscopic enucleation of esophageal leiomyomas is a safe and feasible procedure with decreased hospital stay and operating time. The 3-port technique that we used is a safe and effective procedure, as well.
authors.affiliation: Department of Thoracic Surgery, Vakıf University, , İstanbul, Turkey.  sedatziyade@gmail.com
authors.forename: Sedat
authors.initials: S
authors.lastname: Ziyade
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Kadioğlu
authors.forename: Şenel
authors.initials: Ş
authors.lastname: Yediyildiz
authors.forename: Nur
authors.initials: N
authors.lastname: Büyükpinarbaşili
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Soysal
mesh_terms: D000328:Adult; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies; D013906:Thoracoscopy / Q000009:adverse effects / Q000379:methods*