Society for Surgery of the Alimentary Tract
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LAPAROSCOPIC EXCISION OF A LARGE ESOPHAGEAL LEIOMYOMA EXTENDING FROM THE PERICARDIUM TO BEYOND GASTROESOPHAGEAL JUNCTION IN THE SAME-DAY-SURGERY SETTING
Joe Braham Chahine*, Farzaneh Banki
Cardiothoracic and Vascular Surgery, University of Texas Health Science Center, Memorial Hermann Southeast Esophageal Disease Center, Houston, TX

Introduction: Leiomyomas are excised by enucleation. Method: A large mediastinal esophageal leiomyoma was diagnosed in a 69-year-old male with dysphagia to solids. Results: the mass was excised laparoscopically. It was mobilized from the pericardium and the aorta. Enucleation was performed. The operation lasted 2 hours 49 minutes with minimal EBL. The patient was discharged the same-day of surgery, tolerating liquids. At 6-months he's free of symptoms and eats as desired. Final pathology confirmed leiomyoma. Conclusion: Excision of a large mediastinal esophageal leiomyoma can be performed laparoscopically in the same-day surgery setting with good outcomes.


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