Leiomioma do esôfago removido por videolaparoscopia

Detalhes bibliográficos
Autor(a) principal: Azevedo, João Luiz Moreira Coutinho [UNIFESP]
Data de Publicação: 1999
Outros Autores: Boulez, Jean, Blanchet, Marie Cecile
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0100-69911999000400009
http://repositorio.unifesp.br/handle/11600/807
Resumo: This report describes a leiomyoma of the inferior third section of the esophagus removed during laparoscopic cholecystectomy. The patient is a woman 55-years-age, carrying esophageal myoma of 40 mm in diameter wide, situated in the posterior wall of the lower esophagus. Indications for surgery were based mainly on the growth of the mass (6 mm when discovered 7 years previously, increased to 40 mm). Recently the patient returned suffering from pain, which could be attributed to his litiasic cholecystopaty. A small degree of low disphagia could also be observed. Radiologic imaging, direct endoscopic examination and endoscopic ultrasound showed that the mioma protruded on to the oesophagic lumen, discreetly diminishing there. A laparoscopic esophageal myomectomy was indicated at the same session of the laparoscopic cholecystectomy. Once the pneunoperitoneum was installed, five ports were placed as if for a hiatus hernia surgery. The cholecystectomy was uneventful. Next, an esophagoscopy was performed so as to determine the precise area covering the base of the tumour; at the right-lateral site. Longitudinal and circular fibres of the esophagus was severed over the lesion and the enucleation of the tumour was performed alternating the monopolar dissection, bipolar and hidrodisection. Control-endoscopy was carried out to verify mucosa integrity. Four suture points with poliglactine 3-0 string so as to close the musculature followed this. One suture was placed in for diminution of the size of the esophagean hiatus. Total time of intervention: two hours (30m for the cholecystectomy and one hour and thirty minutes for the myomectomy). Postoperative period: uneventful. Disappearance of the disphagia was observed. Radiologic transit control with water-soluble contrast at 4th post-operative day: good passage. Diagnosis from laboratory of pathology: conjunctive tumour formed by muscle non-striated cells: leiomyoma. The patient was re-examined on the two-month postoperative follow-up. General conditions were good and there were no complain of dysphagia. Neither there were any symptoms of gastro-esophageal reflux.
id UFSP_4be9adee5d0b0be4f51b1191843e9350
oai_identifier_str oai:repositorio.unifesp.br/:11600/807
network_acronym_str UFSP
network_name_str Repositório Institucional da UNIFESP
repository_id_str 3465
spelling Leiomioma do esôfago removido por videolaparoscopiaLeiomyoma of the lower esophagus treated by videolaparoscopyLaparoscopyEsophagusSurgerySurgical techniquesLeiomyomaBeniRn neoplasmsThis report describes a leiomyoma of the inferior third section of the esophagus removed during laparoscopic cholecystectomy. The patient is a woman 55-years-age, carrying esophageal myoma of 40 mm in diameter wide, situated in the posterior wall of the lower esophagus. Indications for surgery were based mainly on the growth of the mass (6 mm when discovered 7 years previously, increased to 40 mm). Recently the patient returned suffering from pain, which could be attributed to his litiasic cholecystopaty. A small degree of low disphagia could also be observed. Radiologic imaging, direct endoscopic examination and endoscopic ultrasound showed that the mioma protruded on to the oesophagic lumen, discreetly diminishing there. A laparoscopic esophageal myomectomy was indicated at the same session of the laparoscopic cholecystectomy. Once the pneunoperitoneum was installed, five ports were placed as if for a hiatus hernia surgery. The cholecystectomy was uneventful. Next, an esophagoscopy was performed so as to determine the precise area covering the base of the tumour; at the right-lateral site. Longitudinal and circular fibres of the esophagus was severed over the lesion and the enucleation of the tumour was performed alternating the monopolar dissection, bipolar and hidrodisection. Control-endoscopy was carried out to verify mucosa integrity. Four suture points with poliglactine 3-0 string so as to close the musculature followed this. One suture was placed in for diminution of the size of the esophagean hiatus. Total time of intervention: two hours (30m for the cholecystectomy and one hour and thirty minutes for the myomectomy). Postoperative period: uneventful. Disappearance of the disphagia was observed. Radiologic transit control with water-soluble contrast at 4th post-operative day: good passage. Diagnosis from laboratory of pathology: conjunctive tumour formed by muscle non-striated cells: leiomyoma. The patient was re-examined on the two-month postoperative follow-up. General conditions were good and there were no complain of dysphagia. Neither there were any symptoms of gastro-esophageal reflux.UNIFESP-EPM Departamento de CirurgiaUniversidade Claude Bernard Faculdade de Medicina Departamento de Cirurgia General e DigestivaUNIFESP, EPM, Depto. de CirurgiaSciELOColégio Brasileiro de CirurgiõesUniversidade Federal de São Paulo (UNIFESP)Universidade Claude Bernard Faculdade de Medicina Departamento de Cirurgia General e DigestivaAzevedo, João Luiz Moreira Coutinho [UNIFESP]Boulez, JeanBlanchet, Marie Cecile2015-06-14T13:24:54Z2015-06-14T13:24:54Z1999-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion243-245application/pdfhttp://dx.doi.org/10.1590/S0100-69911999000400009Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 26, n. 4, p. 243-245, 1999.10.1590/S0100-69911999000400009S0100-69911999000400009.pdf0100-6991S0100-69911999000400009http://repositorio.unifesp.br/handle/11600/807porRevista do Colégio Brasileiro de Cirurgiõesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T21:35:31Zoai:repositorio.unifesp.br/:11600/807Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-05T21:35:31Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Leiomioma do esôfago removido por videolaparoscopia
Leiomyoma of the lower esophagus treated by videolaparoscopy
title Leiomioma do esôfago removido por videolaparoscopia
spellingShingle Leiomioma do esôfago removido por videolaparoscopia
Azevedo, João Luiz Moreira Coutinho [UNIFESP]
Laparoscopy
Esophagus
Surgery
Surgical techniques
Leiomyoma
BeniRn neoplasms
title_short Leiomioma do esôfago removido por videolaparoscopia
title_full Leiomioma do esôfago removido por videolaparoscopia
title_fullStr Leiomioma do esôfago removido por videolaparoscopia
title_full_unstemmed Leiomioma do esôfago removido por videolaparoscopia
title_sort Leiomioma do esôfago removido por videolaparoscopia
author Azevedo, João Luiz Moreira Coutinho [UNIFESP]
author_facet Azevedo, João Luiz Moreira Coutinho [UNIFESP]
Boulez, Jean
Blanchet, Marie Cecile
author_role author
author2 Boulez, Jean
Blanchet, Marie Cecile
author2_role author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Universidade Claude Bernard Faculdade de Medicina Departamento de Cirurgia General e Digestiva
dc.contributor.author.fl_str_mv Azevedo, João Luiz Moreira Coutinho [UNIFESP]
Boulez, Jean
Blanchet, Marie Cecile
dc.subject.por.fl_str_mv Laparoscopy
Esophagus
Surgery
Surgical techniques
Leiomyoma
BeniRn neoplasms
topic Laparoscopy
Esophagus
Surgery
Surgical techniques
Leiomyoma
BeniRn neoplasms
description This report describes a leiomyoma of the inferior third section of the esophagus removed during laparoscopic cholecystectomy. The patient is a woman 55-years-age, carrying esophageal myoma of 40 mm in diameter wide, situated in the posterior wall of the lower esophagus. Indications for surgery were based mainly on the growth of the mass (6 mm when discovered 7 years previously, increased to 40 mm). Recently the patient returned suffering from pain, which could be attributed to his litiasic cholecystopaty. A small degree of low disphagia could also be observed. Radiologic imaging, direct endoscopic examination and endoscopic ultrasound showed that the mioma protruded on to the oesophagic lumen, discreetly diminishing there. A laparoscopic esophageal myomectomy was indicated at the same session of the laparoscopic cholecystectomy. Once the pneunoperitoneum was installed, five ports were placed as if for a hiatus hernia surgery. The cholecystectomy was uneventful. Next, an esophagoscopy was performed so as to determine the precise area covering the base of the tumour; at the right-lateral site. Longitudinal and circular fibres of the esophagus was severed over the lesion and the enucleation of the tumour was performed alternating the monopolar dissection, bipolar and hidrodisection. Control-endoscopy was carried out to verify mucosa integrity. Four suture points with poliglactine 3-0 string so as to close the musculature followed this. One suture was placed in for diminution of the size of the esophagean hiatus. Total time of intervention: two hours (30m for the cholecystectomy and one hour and thirty minutes for the myomectomy). Postoperative period: uneventful. Disappearance of the disphagia was observed. Radiologic transit control with water-soluble contrast at 4th post-operative day: good passage. Diagnosis from laboratory of pathology: conjunctive tumour formed by muscle non-striated cells: leiomyoma. The patient was re-examined on the two-month postoperative follow-up. General conditions were good and there were no complain of dysphagia. Neither there were any symptoms of gastro-esophageal reflux.
publishDate 1999
dc.date.none.fl_str_mv 1999-08-01
2015-06-14T13:24:54Z
2015-06-14T13:24:54Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0100-69911999000400009
Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 26, n. 4, p. 243-245, 1999.
10.1590/S0100-69911999000400009
S0100-69911999000400009.pdf
0100-6991
S0100-69911999000400009
http://repositorio.unifesp.br/handle/11600/807
url http://dx.doi.org/10.1590/S0100-69911999000400009
http://repositorio.unifesp.br/handle/11600/807
identifier_str_mv Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 26, n. 4, p. 243-245, 1999.
10.1590/S0100-69911999000400009
S0100-69911999000400009.pdf
0100-6991
S0100-69911999000400009
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 243-245
application/pdf
dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268276821196800