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Gilbert R. Schorlemmer
James W. Battaglini
Gordon F. Murray
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Ann Thorac Surg 1983;35:469-471
© 1983 The Society of Thoracic Surgeons

Articles

The Cervical Approach to Esophageal Leiomyomas

Gilbert R. Schorlemmer, M.D., James W. Battaglini, M.D., Gordon F. Murray, M.D.*

From the Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Chapel Hill, NC

Accepted for publication April 29, 1982.

* Address reprint requests to Dr. Murray, Division of Cardiothoracic Surgery, 108 Burnett-Womack Building 229H, Chapel Hill, NC 27514

Intramural leiomyoma is the most common benign esophageal tumor. The treatment of choice is enucleation without mucosal encroachment. Esophageal resection with reconstruction is rarely necessary, obviating the need for wide exposure. This report demonstrates the technical simplicity of the cervical approach to leiomyomata of the proximal thoracic esophagus. The operative technique avoids the morbidity of the commonly employed thoracotomy incision and deserves consideration in the treatment of accessible lesions.






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