Skip to main content
SpringerLink
Log in

Resection of Benign Tumours

  • Chapter
  • First Online:
Minimally Invasive Thoracic and Cardiac Surgery

  • 2505 Accesses

Abstract

Benign oesophageal tumours are rare and in most of the cases completely asymptomatic. Once symptomatic, dysphagia and chest pain are the predominant clinical signs. The diagnostic armamentarium includes contrast swallow, CT scan, endoscopy, endoscopic ultrasound and ultrasound-guided fine-needle aspiration. The majority of tumours is located in the intramural layer of the lower two-thirds of the thoracic oesophagus. Leiomyoma is the most common type of these tumours. The indication for surgical treatment is based on clinical symptoms and necessity of exact pathologic diagnosis for unclear conditions. Minimally invasive approach for surgical treatment seems to be safe and effective. Enucleation of the tumour by video-assisted thoracoscopic surgery (VATS) or laparoscopy depending on the exact tumour location is the method of choice for the majority of benign intramural oesophageal tumours. Generally, surgery for benign oesophageal tumours is followed by low morbidity and complete resolution of symptoms in more than 90% of patients. Long-term prognosis is excellent. To our knowledge, no lethal perioperative outcome has been published so far.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Plachta A (1962) Benign tumors of the esophagus: review of literature and report of 99 cases. Am J Gastroenterol 38:639–52

    PubMed  CAS  Google Scholar 

  2. Levine MS (2003) Benign tumors of the esophagus: radiologic evaluation. Semin Thorac Cardiovasc Surg 15:9–19, Review

    Article  PubMed  Google Scholar 

  3. Attah EB, Hajdu SI (1968) Benign and malignant tumors of the esophagus at autopsy. J Thorac Cardiovasc Surg 55:396–404

    PubMed  CAS  Google Scholar 

  4. Schmidt HW, Clagett OT, Harrison EG Jr (1961) Benign tumors and cysts of the esophagus. Ann Otol Rhinol Laryngol 70:1148–57

    PubMed  CAS  Google Scholar 

  5. Seremetis M, Lyons W, DeGuzman V (1976) Leiomyomata of the esophagus: an analysis of 838 cases. Cancer 38:2166–77

    Article  PubMed  CAS  Google Scholar 

  6. Avezzano EA, Fleischer DE, Merida MA et al (1990) Giant fibrovascular polyps of the esophagus. Am J Gastroenterol 85:299–302

    PubMed  CAS  Google Scholar 

  7. Hatch GF 3rd, Wertheimer-Hatch L, Hatch KF et al (2000) Tumors of the esophagus. World J Surg 24:401–11

    Article  PubMed  Google Scholar 

  8. Gossot D, Fourquier P, el Meteini M et al (1993) Technical aspects of endoscopic removal of benign tumors of the esophagus. Surg Endosc 7:102–3

    Article  PubMed  CAS  Google Scholar 

  9. Peracchia A, Rosati R, Bardini R (1996) Thoracoscopic removal of tumors of the esophagus. In: Gossot D, Hunter JG, Toouli J (eds) Endosurgery. Churchill Livingston, Edinburgh

    Google Scholar 

  10. Samphire J, Nafteux P, Luketich J (2003) Minimally invasive techniques for resection of benign esophageal tumors. Semin Thorac Cardiovasc Surg 15:35–43

    Article  PubMed  Google Scholar 

  11. von Rahden BH, Stein HJ, Feussner H et al (2004) Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach. Surg Endosc 18:924–30

    Article  Google Scholar 

  12. Zaninotto G, Portale G, Costantini M et al (2006) Minimally invasive enucleation of esophageal leiomyoma. Surg Endosc 20:1904–8

    Article  PubMed  CAS  Google Scholar 

  13. Kent M, d’Amato T, Nordman C et al (2007) Minimally invasive resection of benign esophageal tumors. J Thorac Cardiovasc Surg 134:176–81

    Article  PubMed  Google Scholar 

  14. Vallböhmer D, Hölscher AH, Brabender J et al (2007) Thoracoscopic enucleation of esophageal leiomyomas: a feasible and safe procedure. Endoscopy 39:1097–9

    Article  PubMed  Google Scholar 

  15. Palanivelu C, Rangarajan M, Madankumar MV et al (2008) Minimally invasive therapy for benign tumors of the distal third of the esophagus – a single institute’s experience. J Laparoendosc Adv Surg Tech A 18:20–6

    Article  PubMed  Google Scholar 

  16. Jiang G, Zhao H, Yang F et al (2009) Thoracoscopic enucleation of esophageal leiomyoma: a retrospective study on 40 cases. Dis Esophagus 22:279–83

    Article  PubMed  CAS  Google Scholar 

  17. Li ZG, Chen HZ, Jin H et al (2009) Surgical treatment of esophageal leiomyoma located near or at the esophagogastric junction via a thoracoscopic approach. Dis Esophagus 22:185–9

    Article  PubMed  CAS  Google Scholar 

  18. Bonavina L, Segalin A, Rosati R et al (1995) Surgical therapy of esophageal leiomyoma. J Am Coll Surg 181:257–62

    PubMed  CAS  Google Scholar 

  19. Rice TW (2003) Benign esophageal tumors: esophagoscopy and endoscopic esophageal ultrasound. Semin Thorac Cardiovasc Surg 15:20–6, Review

    Article  PubMed  Google Scholar 

  20. Kinney T, Waxman I (2003) Treatment of benign esophageal tumors by endoscopic techniques. Semin Thorac Cardiovasc Surg 15:27–34, Review

    Article  PubMed  Google Scholar 

  21. Mutrie CJ, Donahue DM, Wain JC et al (2005) Esophageal leiomyoma: a 40-year experience. Ann Thorac Surg 79:1122–5

    Article  PubMed  Google Scholar 

  22. Yamada Y, Kida M, Sakaguchi T (1992) A study of myogenic tumors of the upper gastrointestinal tract by endoscopic ultrasonography with special reference to the differential diagnosis of benign and malignant lesions. Dig Endosc 4:396–408

    Article  Google Scholar 

  23. Bardini R, Segalin A, Ruol A et al (1992) Videothoracoscopic enucleation of esophageal leiomyoma. Ann Thorac Surg 54:576–7

    Article  PubMed  CAS  Google Scholar 

  24. Izumi Y, Inoue H, Endo M (1996) Combined endoluminal-intracavitary thoracoscopic enucleation of leiomyoma of the esophagus. A new method. Surg Endosc 10:457–8

    Article  PubMed  CAS  Google Scholar 

  25. Rämö OJ, Salo JA, Bardini R et al (1997) Treatment of a submucosal hemangioma of the esophagus using simultaneous video-assisted thoracoscopy and esophagoscopy: description of a new minimally invasive technique. Endoscopy 29:S27–8

    Article  PubMed  Google Scholar 

  26. Roviaro GC, Maciocco M, Varoli F et al (1998) Videothoracoscopic treatment of oesophageal leiomyoma. Thorax 53:190–2

    Article  PubMed  CAS  Google Scholar 

  27. Tamura K, Takamori S, Tayama K et al (1998) Thoracoscopic resection of a giant leiomyoma of the esophagus with a mediastinal outgrowth. Ann Thorac Cardiovasc Surg 4(6):351–3, Review

    PubMed  CAS  Google Scholar 

  28. Sogabe M, Taniki T, Fukui Y et al (2006) A patient with esophageal hemangioma treated by endoscopic mucosal resection: a case report and review of the literature. J Med Invest 53:177–82, Review

    Article  PubMed  Google Scholar 

  29. Drenth J, Wobbes T, Bonenkamp JJ et al (2002) Recurrent esophageal fibrovascular polyps: case history and review of the literature. Dig Dis Sci 47:2598–604, Review

    Article  PubMed  Google Scholar 

  30. Murase K, Hino A, Ozeki Y et al (2001) Malignant schwannoma of the esophagus with lymph node metastasis: literature review of schwannoma of the esophagus. J Gastroenterol 36:772–7

    Article  PubMed  CAS  Google Scholar 

  31. Harries K, Nunn T, Shah V et al (2004) First reported case of esophageal paraganglioma. A review of the literature of gastrointestinal tract paraganglioma including gangliocytic paraganglioma. Dis Esophagus 17:191–5

    Article  PubMed  CAS  Google Scholar 

  32. Park BJ, Carrasquillo J, Bains MS et al (2006) Giant benign esophageal schwannoma requiring esophagectomy. Ann Thorac Surg 82:340–2

    Article  PubMed  Google Scholar 

  33. Ploner F, Zacherl J, Wrba F et al (2009) Gastrointestinal stromal tumors: recommendations on diagnosis, therapy and follow-up care in Austria. Wien Klin Wochenschr 121:780–90

    Article  PubMed  Google Scholar 

  34. Moersch HJ, Harrington SW (1944) Benign tumors of the esophagus. Ann Otol Rhinol Laryngol 53:800–17

    Google Scholar 

  35. Mosca S, Manes G, Monaco R et al (2001) Squamous papilloma of the esophagus: long-term follow up. J Gastroenterol Hepatol 16:857–61

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery, Medical University of Vienna, Waehringer Guertel 18-20, Vienna, A-1020, Austria

    Yelena Devyatko M.D., Sebastian F. Schoppmann M.D. & Johannes Zacherl M.D.

Authors
  1. Yelena Devyatko M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sebastian F. Schoppmann M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Johannes Zacherl M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Johannes Zacherl M.D. .

Editor information

Editors and Affiliations

  1. Klinik Hirslanden, Thoraxzentrum Zürich, Witellikerstr. 40, Zürich, 8008, Switzerland

    Rolf Gilbert Carl Inderbitzi

  2. , Division of General Thoracic Surgery, University Hospital Berne
, Freiburgstr. 2010, Berne, 3010, Switzerland

    Ralph Alexander Schmid

  3. , Department of Cardio-Thoracic Surgery, University of Pisa, Via Paradisa 2, Pisa, 56100, Italy

    Franca M. A. Melfi

  4. St. Mary's Hospital, Department of Cardio-Thoracic Surgery, Imperial College Healthcare NHS Trust, Praed Street, LONDON, W2 1NY, United Kingdom

    Roberto Pasquale Casula

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Devyatko, Y., Schoppmann, S.F., Zacherl, J. (2012). Resection of Benign Tumours. In: Inderbitzi, R., Schmid, R., Melfi, F., Casula, R. (eds) Minimally Invasive Thoracic and Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11861-6_33

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-11861-6_33

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11860-9

  • Online ISBN: 978-3-642-11861-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation