Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 14, 2017; 23(46): 8256-8260
Published online Dec 14, 2017. doi: 10.3748/wjg.v23.i46.8256
Combined thoracoscopic and endoscopic surgery for a large esophageal schwannoma
Yu Onodera, Toru Nakano, Daisuke Takeyama, Shota Maruyama, Yusuke Taniyama, Tadashi Sakurai, Takahiro Heishi, Chiaki Sato, Takuro Kumagai, Takashi Kamei
Yu Onodera, Shota Maruyama, Yusuke Taniyama, Tadashi Sakurai, Takahiro Heishi, Takuro Kumagai, Chiaki Sato and Takashi Kamei, Division of Advanced Surgical Science and Technology, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai Miyagi 980-8574, Japan
Toru Nakano, Daisuke Takeyama, Division of Gastroenterological and Hepatobiliarypancreatic Surgery, Tohoku Medical and Pharmaceutical University, Miyagino-ku, Sendai Miyagi 983-8560, Japan
Author contributions: Onodera Y is the first author and Nakano T is the correspondence author; Nakano T designed the study and planed the managements; Nakano T, Takeyama D and Kumagai T were operators of the thocoscopic procedure; Mruyama S was the operator of the endoscopic procedure; Onodera Y, Takeyama D, Taniyama Y, Sakurai T, Heishi T, Kumagai T and Kamei T were attending doctors and provided all treatment including the surgical operation; all authors agree with the content of the manuscript and the roles that are specifically attributed to them.
Supported by (partially) JSPS KAKENHI, No. JP15K15487.
Informed consent statement: Written informed consent was obtained from the patient.
Conflict-of-interest statement: All authors have no conflict-of-interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Toru Nakano, MD, PhD, Associate professor, Division of Gastroenterological and Hepatobiliarypancreatic Surgery, Tohoku Medical and Pharmaceutical University, 1-12-1 Fukumuro, Miyagino-ku, Sendai Miyagi 983-8560, Japan.
Telephone: +81-22-2591221 Fax: +81-22-2591231
Received: June 25, 2017
Peer-review started: June 28, 2017
First decision: July 13, 2017
Revised: August 23, 2017
Accepted: September 13, 2017
Article in press: September 13, 2017
Published online: December 14, 2017
Core Tip

Core tip: A 47-year-old woman was diagnosed with a benign schwannoma of length 60 mm in the thoracic esophagus. On endoscopy, a submucosal tunnel was created 40 mm proximal to the cranial edge of the tumor, and its only oral end was dissected from the mucosal and muscular layers. This was followed by the resection of the entire tumor by left-sided thoracoscopic procedure. Endoscopic closure was achieved by using clips. No postoperative complications were observed. Our experience demonstrated that large esophageal tumors can be safely excised with minimally invasive surgery by using a combination of thoracoscopy and endoscopy.