Case Reports in Gastroenterology (May 2015)

Prone Position Is Useful in Thoracoscopic Enucleation of Esophageal Leiomyoma

  • Kenji Maki,
  • Shinsuke Takeno,
  • Satoshi Nimura,
  • Ippei Yamana,
  • Hideki Shimaoka,
  • Tatsuya Hashimoto,
  • Ryousuke Shibata,
  • Hironari Shiwaku,
  • Kanefumi Yamashita,
  • Yuichi Yamashita

DOI
https://doi.org/10.1159/000382071
Journal volume & issue
Vol. 9, no. 2
pp. 165 – 170

Abstract

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A 36-year-old man was admitted to our institute due to the diagnosis of esophageal submucosal tumor detected by a periodical upper gastrointestinal endoscopic examination without any complaint. Thoracoscopic enucleation of the lesion with the preoperative clinical diagnosis of esophageal leiomyoma was performed under general anesthesia in the prone position. After immunohistochemical examination, the pathological diagnosis was leiomyoma. There was no remarkable event during the postoperative hospital stay, and the patient was discharged on the 12th day after surgery. This case report suggests that the prone position might be superior to the left lateral decubitus position in thoracoscopic enucleation of esophageal leiomyoma.

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