Abstract
Thoracoscopic enucleation of a leiomyoma of the esophagus was successfully performed in a 29-year-old male. The tumor was located in the middle thoracic esophagus. The tumor size was 3.8×1.7×1.2cm. Four trocars were inserted through the right intercostal space for operation. Intraluminal balloon-mounted esophagoscope was useful enough to expose the tumor inner side out of the esophageal wall and the tumor was easily enucleated. After resection, intact esophageal mucosa was confirmed by endoscopy and the proper muscle layer of the esophagus was closed with 3-0 Vicryl. The thoracoscopic approach in comparison with open surgical approach can potentially cause less patient discomfort postoperatively and reduce the hospital stay and recovery period. We think that the thoracoscopic approach for enucleation of leiomyoma of the esophagus will come into the standard procedure.
