The hybrid procedure of thoracoscopic and hand‐assisted laparoscopic resection of an esophageal gastrointestinal stromal tumor: A case report. Issue 2 (18th August 2020)

• Record Type: Journal Article
• Authors: Fujiwara, Naoto; Sato, Hiroshi; Miyawaki, Yutaka; Ito, Misato; Aoyama, Junya; Ito, Sunao; Oya, Shuichiro; Watanabe, Kenji; Sugita, Hirofumi; Yasuda, Masanori; Sakuramoto, Shinichi
• Is Part Of: Asian journal of endoscopic surgery. Volume 14:Issue 2(2021)
• Page Start: 286
• Page End: 289
• Publication Date: 2020-08-18
• Subjects: esophagus -- GIST -- thoracoscopic surgery; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12853
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: Esophageal gastrointestinal stromal tumors (E‐GIST) are very rare tumors, and there is no consensus regarding the optimal surgical approach for E‐GISTs. Here, we report a case of a large E‐GIST that was resected via video‐assisted thoracoscopic surgery (VATS) and hand‐assisted laparoscopic surgery (HALS). When examining for comorbidities of myasthenia gravis using computed tomography, a 7‐cm‐sized tumor was detected in the lower esophagus of a 68‐year‐old woman. Further examination revealed the tumor to be an E‐GIST with high malignant potential, and thus, esophagectomy was performed. The hybrid procedure for VATS and HALS techniques was safe and minimally invasive for this E‐GIST that required esophagectomy. Thus, esophagectomy with VATS and HALS is thought to be a reasonable surgical option for resecting large E‐GISTs, for which enucleation is not recommended.