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Combined thoracoscopic and endoscopic surgery for a large esophageal schwannoma

World Journal of Gastroenterology 2017年第46期23卷 8256-8260页

作者： Yu Onodera Toru Nakano Daisuke Takeyama Shota Maruyama yusuke taniyama Tadashi Sakurai Takahiro Heishi Chiaki Sato Takuro Kumagai Takashi Kamei Division of Advanced Surgical Science and Technology Tohoku University Graduate School of Medicine Division of Gastroenterological and Hepatobiliarypancreatic Surgery Tohoku Medical and Pharmaceutical University

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.

关键词： Esophagus Thoracoscopy Endoscopy Schwannoma Submucosal tumor

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