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  • Title: Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach.
    Author: von Rahden BH, Stein HJ, Feussner H, Siewert JR.
    Journal: Surg Endosc; 2004 Jun; 18(6):924-30. PubMed ID: 15108112.
    Abstract:
    BACKGROUND: Surgical enucleation of submucosal tumors (SMTs) of the esophagus (mostly leiomyomas) is indicated when either the tumors are symptomatic or their biological behavior is unclear. The classic approach is a thoracotomy, but tumor enucleation can now also be performed via thoracoscopy or, for distal tumors, via laparoscopy. METHODS: We assessed our experience with the different approaches in a total of 25 patients (n = 13 minimally invasive approach and n = 12 open surgery). Enucleation of the SMT was the basic surgical principle; the choice of the approach was based on the preference of the surgeon. RESULTS: Compared to open surgery, the minimally invasive approach reduced pulmonary complications, hospital stay, and postoperative wound-related pain. The operating time was the same for both approaches. CONCLUSION: Minimally invasive approaches are suitable for the surgical enucleation of submucosal esophageal tumors. Thoracoscopic and laparoscopic techniques are recommended as standard procedures in experienced centers.
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