Dzhantukhanova S, Avetisyan LG, Badakhova A, Starkov Y, Glotov A. Hybrid laparo-endoscopic access: New approach to surgical treatment for giant fibrovascular polyp of esophagus: A case report and review of literature. World J Gastrointest Endosc 2023; 15(11): 666-675 [PMID: 38073764 DOI: 10.4253/wjge.v15.i11.666]
Corresponding Author of This Article
Amina Badakhova, MD, Doctor, Surgeon, Department of Surgical Endoscopic, The Vishnevsky National Medical Research Center of Surgery, Ministry of Health of Russia, Bolshaya Serpukhovskaya, 27, Moscow 115093, Russia. badakhovaamina@mail.ru
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Nov 16, 2023; 15(11): 666-675 Published online Nov 16, 2023. doi: 10.4253/wjge.v15.i11.666
Hybrid laparo-endoscopic access: New approach to surgical treatment for giant fibrovascular polyp of esophagus: A case report and review of literature
Seda Dzhantukhanova, Lyudmila Grigori Avetisyan, Amina Badakhova, Yury Starkov, Andrey Glotov
Seda Dzhantukhanova, Department of Surgical Endoscopic, The Vishnevsky National Medical Research Center of Surgery, Moscow 115093, Russia
Lyudmila Grigori Avetisyan, Faculty of General Medicine, Yerevan State Medical University, Yerevan 0025, Armenia
Amina Badakhova, Yury Starkov, Department of Surgical Endoscopic, The Vishnevsky National Medical Research Center of Surgery, Ministry of Health of Russia, Moscow 115093, Russia
Andrey Glotov, Department of Morphologist, The Vishnevsky National Medical Research Center of Surgery, Ministry of Health of Russia, Moscow 115093, Russia
Author contributions: Dzhantukhanova SV and Starkov YG contributed equally to this work; Dzhantukhanova SV, Starkov YG - concept and design of the study, editing, approval of the final version of the article; Badakhova AB, Avetisyan L - concept and design of the study, writing text, editing; Glotov AV - contributed new reagents and analytic tools.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: Author(s) certify that there is no conflict of interest related to the manuscript. If any potential conflict-of-interest exists, author(s) certify that it is fully disclosed.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Amina Badakhova, MD, Doctor, Surgeon, Department of Surgical Endoscopic, The Vishnevsky National Medical Research Center of Surgery, Ministry of Health of Russia, Bolshaya Serpukhovskaya, 27, Moscow 115093, Russia. badakhovaamina@mail.ru
Received: May 10, 2023 Peer-review started: May 10, 2023 First decision: July 4, 2023 Revised: August 3, 2023 Accepted: September 22, 2023 Article in press: September 22, 2023 Published online: November 16, 2023 Processing time: 183 Days and 17.6 Hours
Abstract
BACKGROUND
Fibrovascular polyps are rare type of esophageal submucosal neoplasms. They are highly vascularized and can cause difficulty swallowing and even fatal complications such as uncontrolled bleeding and death caused by asphyxiation in case of tumor migration to oropharynx. In the article we describe a novel hybrid technique to surgical treatment – an endoscopic submucosal dissection with laparoscopic removal of the tumor.
CASE SUMMARY
The patient with a giant fibrovascular esophageal polyp presented with cough, discomfort in the throat, difficulty swallowing, and an episode of tumor migration into oropharynx. The patient was investigated with several imaging studies and was diagnosed with a giant highly vascularized esophageal fibrovascular polyp. The follow-up period of eight months accompanied with no complications.
CONCLUSION
This method has been shown to have comparable rates of recurrence and a low risk of complications.
Core Tip: In our case the patient was investigated with several imaging studies and was diagnosed with a giant highly vascularized esophageal fibrovascular polyp. It is crucial to consider the size and vascularization of fibrovascular polyps when assume endoscopic removal as a treatment option and to carefully plan the surgical technique to avoid difficulties or discomfort during the procedure. However, there is an alternative approach to traditional surgical removal known as the endoscopic approach that can be both safe and effective for treating giant fibrovascular polyps in the esophagus. Therefore, the aim of our study is to demonstrate demonstrate a novel hybrid technique to surgical treatment – an endoscopic submucosal dissection with laparoscopic removal of the tumor.
