The authors present the case of a 40-year-old male with no prior medical history who reported progressive dysphagia to solids over several months. Imaging with CT and MRI revealed a submucosal esophageal lesion consistent with leiomyoma. The patient underwent a right-sided robot-assisted thoracoscopic surgery (RATS) for tumor resection. Intraoperative methylene blue test showed no mucosal breach. The muscular layer was closed with interrupted 3-0 polydioxanone (PDS) sutures, and the adventitia and pleura were closed with a running 3-0 PDS suture. The postoperative course was uneventful. A contrast esophagram performed on postoperative day two showed no leak, and the patient was discharged on day three in good condition. 

References

1. Zhang, X., Wang, H., Jin, R., Chen, K., & Zhang, J. (2022). Surgical Treatment for Esophageal Leiomyoma: 13 Years of Experience in a Single Center. Frontiers in Oncology, 12, 876277. Dunning, J., Colman, A., & Viswanath, Y. K. (2023). Robotic Resection of an Esophageal Leiomyoma. CTSNet.
2. Arámbulo, R. H., Ya-Lyn, A. N., Hillegersberg, R. V., & Ruurda, J. (2021). Robot-Assisted Esophageal Leiomyosarcoma Resection.

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