Excision of an esophageal leiomyoma through a right thoracoscopic approach
Epublication WebSurg.com, Apr 2005;05(04). URL: http://websurg.com/doi/vd01en1728e
This video demonstrates a thoracoscopic approach to excision of a 3 cm leiomyoma of the esophagus. A right thoracoscopic approach is used. Intraoperative endoscopy allows the surgeon to isolate the area for myotomy. Single lung anesthesia allows the right lung to be deflated and retracted. A myotomy of the esophagus without damaging the mucosa allows access to the leiomyoma, which is then carefully dissected. Once the lesion is removed the muscular edges of the myotomy are approximated with a running absorbable suture. A 24 French chest tube is left in place.