Leiomioma do esôfago removido por videolaparoscopia
Autor(a) principal: | |
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Data de Publicação: | 1999 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/807 http://dx.doi.org/10.1590/S0100-69911999000400009 |
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. |
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Azevedo, João Luiz Moreira Coutinho [UNIFESP]Boulez, JeanBlanchet, Marie CecileUniversidade Federal de São Paulo (UNIFESP)Universidade Claude Bernard Faculdade de Medicina Departamento de Cirurgia General e Digestiva2015-06-14T13:24:54Z2015-06-14T13:24:54Z1999-08-01Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 26, n. 4, p. 243-245, 1999.0100-6991http://repositorio.unifesp.br/handle/11600/807http://dx.doi.org/10.1590/S0100-69911999000400009S0100-69911999000400009.pdfS0100-6991199900040000910.1590/S0100-69911999000400009This 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 CirurgiaSciELO243-245porColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de CirurgiõesLaparoscopyEsophagusSurgerySurgical techniquesLeiomyomaBeniRn neoplasmsLeiomioma do esôfago removido por videolaparoscopiaLeiomyoma of the lower esophagus treated by videolaparoscopyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALS0100-69911999000400009.pdfapplication/pdf5707351${dspace.ui.url}/bitstream/11600/807/1/S0100-69911999000400009.pdf659bef6d60c74f4d5d2995d83b26645fMD51open accessTEXTS0100-69911999000400009.pdf.txtS0100-69911999000400009.pdf.txtExtracted texttext/plain3${dspace.ui.url}/bitstream/11600/807/2/S0100-69911999000400009.pdf.txt2228e977ebea8966e27929f43e39cb67MD52open access11600/8072021-09-30 11:01:06.487open accessoai:repositorio.unifesp.br:11600/807Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652021-09-30T14:01:06Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.pt.fl_str_mv |
Leiomioma do esôfago removido por videolaparoscopia |
dc.title.alternative.en.fl_str_mv |
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.institution.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.eng.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.issued.fl_str_mv |
1999-08-01 |
dc.date.accessioned.fl_str_mv |
2015-06-14T13:24:54Z |
dc.date.available.fl_str_mv |
2015-06-14T13:24:54Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 26, n. 4, p. 243-245, 1999. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/807 http://dx.doi.org/10.1590/S0100-69911999000400009 |
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0100-6991 |
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S0100-69911999000400009.pdf |
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10.1590/S0100-69911999000400009 |
identifier_str_mv |
Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 26, n. 4, p. 243-245, 1999. 0100-6991 S0100-69911999000400009.pdf S0100-69911999000400009 10.1590/S0100-69911999000400009 |
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http://repositorio.unifesp.br/handle/11600/807 http://dx.doi.org/10.1590/S0100-69911999000400009 |
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