Abstract
Abstract Background Leiomyomas are the most common benign esophageal tumors originating from the muscular layer. They are rare lesions that constitute less than 1% of esophageal neoplasms. In one-third of the patients leiomyomas occur at the level of the gastroesophageal junction. Minimally invasive surgery is considered today the treatment of choice with the laparoscopic approach used for distal tumors. Methods We present the case of a 79-year-old woman with an esophageal stromal tumor located above the gastroesophageal junction. The patient underwent a successful laparoscopic excision (enucleation) of the tumor. Subsequently a Dor fundoplication was performed in order to cover the muscular esophageal defect. Results The recovery from surgery was uneventful. The patient resumed liquid diet within 24 hours and was discharged from hospital on the 3d postoperative day. In one year follow-up, the patient is free of symptoms without stricture or evidence of esophagitis on endoscopy. Histology of the tumor was consistent with leiomyoma. Conclusion Distal esophageal leiomyomas can be safely and effectively treated with the laparoscopic approach.
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