@article{oai:yamagata.repo.nii.ac.jp:00003478,
 author = {蜂谷,  修 and 藤本,  博人 and 矢野,  充泰 and 佐藤,  多未笑 and 山岸,  岳人 and 高須,  直樹 and 木村,  理},
 issue = {1},
 journal = {山形大学紀要. 医学 : 山形医学 = Bulletin of the Yamagata University. Medical science : Yamagata medical journal},
 month = {Feb},
 note = {論文(Article), Thoracoscopic enucleation has been first choice for surgical treatment of esophageal benign submucosal tumors (SMTs). However, intraoperative perforation of the esophagus can sometimes occur, causing serious complications. The risk is especially high for large or annular tumors, as they are difficult to grasp sufficiently well during thoracoscopic instrumentation, and this tends to hinder identification of the correct dissection plane. Therefore, for tumors more than 5 cm diameter, open thoracotomy is generally recommended. Here we describe a large spiral leiomyoma of the esophagus that was successfully enucleated by thoracoscopic surgery using a pre-tied loop ligature (Endoloop). Endoloop was very useful for grasping and pulling up the large tumor, and we were easily able to achieveadjustable countertraction for accurate and safe dissection of the tumor from the submucosal layer of the esophageal wall.},
 pages = {41--45},
 title = {Thoracoscopic enucleation of a large spiral esophageal leiomyoma using a pre-tied loop ligature (Endoloop)},
 volume = {33},
 year = {2015}
}