Combined thoracoscopic and endoscopic surgery for a large esophageal schwannoma
| Autor: | Yusuke Taniyama, Takahiro Heishi, Takuro Kumagai, Shota Maruyama, Yu Onodera, Takashi Kamei, Toru Nakano, Chiaki Sato, Tadashi Sakurai, Daisuke Takeyama |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Aortic arch
medicine.medical_specialty Endoscopic Mucosal Resection Esophageal Neoplasms Schwannoma Case Report 03 medical and health sciences Esophagus 0302 clinical medicine medicine.artery Biopsy medicine Thoracoscopy Humans Endoscopic Ultrasound-Guided Fine Needle Aspiration medicine.diagnostic_test Esophagogastroduodenoscopy business.industry Gastroenterology Endoscopy General Medicine Middle Aged medicine.disease Dysphagia Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Esophagoscopy Submucosal tumor medicine.symptom Tomography X-Ray Computed business Neurilemmoma |
| Zdroj: | World Journal of Gastroenterology |
| ISSN: | 1007-9327 |
| Popis: | A 47-year-old woman presented to our hospital with complaints of dysphagia. Esophagogastroduodenoscopy identified a submucosal tumor in the left wall of the esophagus that was diagnosed as a benign schwannoma on biopsy. Computed tomography revealed a tumor of length 60 mm in the thoracic esophagus, with its cranial edge at the level of the aortic arch. On endoscopy, a submucosal tunnel was created 40 mm proximal to the cranial edge of the tumor, and its oral end was dissected from the mucosal and muscular layers. This was followed by the resection of the entire tumor by left-sided thoracoscopy. The esophageal defect was closed in layer by continuous suture from the thoracic side. Endoscopic closure was achieved by using clips. No postoperative complications were observed. Oral diet was resumed from postoperative day 7 and the patient was discharged on postoperative day 9. This combined approach has not been described for similar tumors. Our experience demonstrated that large esophageal tumors can be safely excised with minimally invasive surgery by using a combination of thoracoscopy and endoscopy. |
| Databáze: | OpenAIRE |
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