Abstract

To discuss the application value of video-assisted thoracoscopic surgery (VATS) in treatment of esophageal leiomyoma. Clinical data of patients with esophageal leiomyoma treated by VATS from January 1999 to August 2007 were analyzed. VATS esophageal leiomyoma enucleations were performed successfully in 23 patients, and 18 patients of them were performed by pure VATS, 5 patients of them were performed with mini-thoracotomy. All the procedures of operations were completed smoothly without mortality and postoperative complications. 22 patients were pathologically diagnosed as esophageal leiomyoma after surgery (2 patients' leiomyoma came from muscularis mucosa). 1 patient was esophageal muscularis neurilemmoma. VATS leiomyoma enucleations must be a routine operation while treat thoracic esophageal leiomyoma.

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