437. LAPAROSCOPIC RESECTION OF AN ESOPHAGEAL LEIOMYOMA WITH DOR FUNDOPLICATION

Abstract Background Leiomyomas are the most common benign esophageal tumors originating from muscular layer. They rare lesions that constitute less than 1% of neoplasms. In one-third patients leiomyomas occur at level gastroesophageal junction. Minimally invasive surgery is considered today treatment choice with laparoscopic approach used for distal tumors. Methods We present case a 79-year-old woman an stromal tumor located above The patient underwent successful excision (enucleation) tumor. Subsequently Dor fundoplication was performed in order to cover defect. Results recovery uneventful. resumed liquid diet within 24 hours and discharged hospital on 3d postoperative day. one year follow-up, free symptoms without stricture or evidence esophagitis endoscopy. Histology consistent leiomyoma. Conclusion Distal can be safely effectively treated approach.