Robot assisted thoracoscopic resection of giant esophageal leiomyoma

INTRODUCTION

Esophageal leiomyoma represents the most common benign esophageal tumor. Robot-assisted thoracoscopic surgery has provided ability to remove it successfully using a minimally invasive approach.

PRESENTATION OF CASE

A 63-year old female with history of chronic chest pain presented with an esophageal mass on chest CT and endoscopic ultrasound. Robot-assisted surgery was performed using three robot arms, a camera and an assistant port. A 10 cm leiomyoma was enucleated and removed through a 2 cm myotomy. Completion endoscopy confirmed integrity of the esophagus. Patient''s chest pain resolved postoperatively, and she was discharged on postoperative day 3.

DISCUSSION

Our case describes successful removal of the giant esophageal leiomyoma (10 cm) by robot assisted minimally invasive resection through a 2 cm myotomy.

CONCLUSION

Use of robot allows for removal of large esophageal leiomyoma. The improved dexterity and patient outcome offered by robot suggests its potential as the mainstay technique for giant esophageal leiomyoma removal.Abbreviations: CT, computed tomography; Endo-GIA, endoscopic gastrointestinal automatic stapler