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Fig. 5 | Surgical Case Reports

Fig. 5

From: Thoracoscopic surgery combined with endoscopic creation of a submucosal tunnel for a large complicated esophageal leiomyoma

Fig. 5

Thoracoscopic surgical procedure. a Cutting the outer membrane of the esophagus around the tumor then dissecting the muscular layer in the esophageal wall along the cut edge of the outer membrane. b Connecting the enucleation layer to the submucosal tunnel created during the endoscopic procedure. c View after enucleating the tumor with the endoscope passed through the submucosal tunnel. d Closing the defect in the muscularis using continuous sutures

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