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Eur J Cardiothorac Surg 2008;34:216-218. doi:10.1016/j.ejcts.2008.04.019
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Deog Gon Cho
Kyu Do Cho
Min Seop Jo
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Case reports

Thoracoscopic stapled resection of multiple esophageal duplication cysts with different pathological findings

Chul Ung Kang, Deog Gon Cho*, Kyu Do Cho, Min Seop Jo

Department of Thoracic and Cardiovascular Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, 93-6 Ji-dong, Paldal-gu, Suwon, Gyeonggi-do 442-723, South Korea

Received 13 February 2008; received in revised form 6 April 2008; accepted 14 April 2008.

* Corresponding author. Tel.: +82 31 249 7200; fax: +82 31 251 1755. (Email: superdrkang{at}hanmail.net; ebstein8{at}hitel.net; cscho{at}catholic.ac.kr; kyudias{at}cvnet.co.kr; minseop{at}catholic.ac.kr).

Esophageal duplication cyst is a rare congenital esophageal anomaly of the foregut. This cyst usually occurs in isolation, and thus far, was treated by enucleation through thoracoscopic or thoracotomic surgery. Here we report a case of multiple esophageal duplication cysts that showed different pathological findings, i.e., the cysts were lined with pseudostratified ciliated columnar and stratified squamous epithelium. Esophageal cysts were incidentally detected in a 53-year-old man during the treatment of pneumonia. In chest-computed tomography, the cysts showed a thin wall and homogeneous inner density, while in endoscopy, no communication with esophageal mucosa was observed. We resected the esophageal cysts with endo-staplers under thoracoscopic surgery. No postoperative complications, including esophageal mucosal injury, occurred. A follow-up chest computed tomography revealed the complete resection of the cysts.

Key Words: Esophageal cyst • Thoracoscopy • Surgical staplers






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Copyright © 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.