R Parthasarathi, S Rajapandian, P Senthilnathan, P Praveen Raj, Bhushan Chittawadagi, C Palanivelu. GEM Hospital & Research Centre
Leiomyoma is the most common benign esophageal neoplasm. Surgical enucleation is the treatment of choice benign tumours of esophagus with symptomatic, large, or ill-defined lesions. Minimally invasive approaches have been introduced and successfully applied for excision of such lesions. In this study, we present our experiences with three different minimally invasive approaches for excision of benign tumours of esophagus namely the Trans-thoracoscopic, transhiatal and transgastric approach.
We have managed 24 patients with benign tumors of the esophagus from 1995 to 2015 in our institute. 20 cases done via transthoracic approach for upper and mid thoracic lesions and our Thoracoscopic approach is standardized with the patient placed in the prone position and approached via a right thorax in all cases. 3 cases done via trans-hiatal approach for distal Lower esophagus tumour and 1 case was done via trans-gastric approach for esophagogastric junction benign tumour. Hospital stay was 3-5 days and there were minor postoperative complications in 2 patients. Mortality was nil. There were 21 patients with leiomyoma and 3 with GISTs, as proved by immunohistochemistry. Short and long-term follow up was satisfactory, with none of the patients having recurrences or other problems.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80856
Program Number: P371
Presentation Session: Poster (Non CME)
Presentation Type: Poster