Robotic fourth-arm enucleation of an esophageal leiomyoma and review of literature

Kemp H. Kernstine, Emily S. Andersen, Andres Falabella, Natalie A. Ramirez, Casandra A. Anderson, Ihab Beblawi

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Esophageal leiomyomas are resected in symptomatic and/or malignancy-suspicious cases. Traditionally, they have been removed by laparotomy or thoracotomy and more recently by thoracoscopy and laparoscopy. Mucosal injury is reported as high as 7% of cases but may be higher in unreported general practice. Robotic technology seems to offer advantages. We describe a robotic approach that seems to minimize mobilization of the esophagus, potentially decreasing the likelihood of mucosal injury and postoperative recovery time. We review the literature to evaluate the reports of mucosal injury with the open, minimally invasive, and robotic techniques and describe our own method. To improve efficiency, we use a four-arm technique.

Original languageEnglish (US)
Pages (from-to)354-357
Number of pages4
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Issue number6
StatePublished - Nov 2009


  • Benign tumor
  • Enucleation
  • Esophageal leiomyoma
  • Minimally invasive surgery
  • Robotic
  • Thoracoscopy

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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