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• W2892080272 abstract "Abstract Background Esophageal leiomyoma (EL) is the most common benign lesion of esophagus. Extramucosal enucleation (EME) is the treatment of choice however esophageal resection have been favoured by some particularly when they attain large size citing risk of malignant transformation. We share our experience of EME over the last 7 years. Methods Prospectively collected database on consecutive cases of EL managed surgically between March 2010 and March 2017 were analysed retrospectively. Our department policy is to consider EME in all. Routine preoperative workup included baseline blood tests, contrast enhance computed tomography chest and upper abdomen and endoscopic ultrasound. All perioperative details were recorded prospectively. All patient underwent CT with oral contrast on day 1 of surgery to exclude leak. Final histopathology were recorded and all of them were followed 6 monthly. Results Mean age of the patients analysed (n = 21; male = 16, female = 5) were 42.7 ± 10.7 years (range 22 to 61) with mean tumor size of 8.4 ± 2.8cm (range 4.2 to 15). Commonest tumour location was thoracic esophagus (n = 16; 76.1%) followed by abdominal (n = 4; 19.2%) and cervical esophagus (n = 1; 4.7%). Most tumor were asymptomatic (n = 9/21; 42.8%) while dysphagia was commonest among those who had symptoms at presentation(7/21; 33.3%). Five (23.8%) of these were of size ≥ 10 cm (giant EL). All of them underwent EME as planned. Majority (n = 17; 81%) underwent minimally invasive enucleation (Thoracoscopic = 14, Laparoscopic = 3) while rest 4 (19%) underwent open enucleation due to large size in 1, cervical location in 1 and intolerance to minimally invasive procedure in 2. The mean operative blood loss were 72.5 ± 22 ml and none required blood transfusion. The mean duration of surgery were 122 ± 27 minutes. There were no postoperative complications that required intervention. No leak reported on postoperative day 1 scan. All patients got discharged by a mean of 5.2 ± 1.8 days. The final diagnosis were leiomyoma in all. At a mean follow up of 36 ± 17.2 months none had recurrence or any long term complication attributable to enucleation. Conclusion Extramucosal enucleation is safe in esophageal leiomyoma irrespective of size and majority of them can be managed with minimally invasive surgery. Disclosure All authors have declared no conflicts of interest." @default.
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• W2892080272 date "2018-09-01" @default.
• W2892080272 modified "2023-09-27" @default.
• W2892080272 title "PS01.116: EXTRAMUCOSAL ENUCLEATION IS SAFE AND FEASIBLE IN ESOPHAGEAL LEIOMYOMA IRRESPECTIVE OF SIZE: SINGLE INSTITUTION EXPERIENCE" @default.
• W2892080272 doi "https://doi.org/10.1093/dote/doy089.ps01.116" @default.
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