Use of a monopolar laparoscopic electrosurgical instrument for transoral laryngoscopic removal of a giant fibrovascular polyp of the esophagus inlet

Abstract

Polysegmented fibrovascular polyps are relatively rare benign neoplasms of the esophagus. They frequently reach giant sizes before patients develop symptoms and a diagnosis is made. Appropriate treatment of these polyps is endoscopic or surgical excision. In this paper we report a case in which an 86-year-old man regurgitated a giant polypoid mass into his mouth that led to dyspnea and dysphagia. The polyp was successfully removed by a transoral approach, by minimally invasive surgery, by use of a monopolar laparoscopic electrosurgical instrument (Valleylab LigaSure Advance™ Pistol Grip). The patient was symptom and recurrence-free at 6-month follow-up.