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Revista Colombiana de Gastroenterologia

Print version ISSN 0120-9957

Abstract

BUITRAGO RAMIREZ, Miguel Ricardo; RAMIREZ PEREIRA, Jorge  and  SALCEDO MIRANDA, Diego Fernando. Case report of robot-assisted esophageal enucleation of leiomyoma and literature review. Rev Col Gastroenterol [online]. 2018, vol.33, n.4, pp.448-453. ISSN 0120-9957.  http://dx.doi.org/10.22516/25007440.169.

Introduction:

Esophageal leiomyomas are benign tumors which are resected by esophageal enucleation when they are symptomatic, suspected of malignancy, or larger than 5 cm. Traditional resection uses the open enucleation technique, but minimally invasive surgery has emerged as a technique that has great advantages, especially when combined with robotic technology.

Case report:

We report a case of leiomyoma of the middle esophagus with treated with enucleation using a robotic-assisted thoracoscopic technique. Intraoperative esophagoscopy and transillumination were useful for identifying the esophagus and developing a plan of safe extra mucosal dissection. Together with robotic assistance this seems to minimize intraoperative risks including that of mucosal injury while also improving postoperative recovery time.

Keywords : Esophageal leiomyoma; benign tumor; robotics; enucleation; minimally invasive surgery.

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