SUBMUCOSAL TUNNELING ENDOSCOPIC RESECTION IN THE TREATMENT OF LEIOMYOMAS IN THE UPPER THIRD OF  ESOPHAGUS

A.A. Smirnov¹, O.B. Tkachenko², A.N. Burakov¹, E.V. Blinov¹, Yu.V. Petrik², D.I. Vasilevskiy¹, K.D. Semenikhin¹, S.F. Bagnenko¹, A.M. Belyaev²

¹Pavlov First Saint Petersburg State Medical University, Saint Petersburg

²Petrov Research Institute of Oncology, Saint Petersburg

Smirnov A.A. ― Cand. Med. Sc., Head of the Endoscopy Department of Research Institute of Surgery and Emergency Medicine of the Pavlov First Saint Petersburg State Medical University

6-8 Lev Tolstoy Str., Saint Petersburg, Russian Feederation, 197022, tel. +7-921-771-246-8, e-mail: smirnov-1959@yandex.ru

Abstract. Location of benign submucosal tumors of esophagus in the upper third is very rare and occur in 4% of cases. Such location of tumors is the most difficult for performing submucosal tunneling endoscopic resection (STER) and associated with increased rate of complications such as subcutaneous emphysema of the neck and injury of the membranous wall of the trachea, when a tumor is located in the anterior esophageal wall.

Кеу words: submucosal endoscopy, submucosal tunneling endoscopic resection, STER, submucosal tumor, leiomyoma, upper third of esophagus, complications, subcutaneous emphysema.