INTRODUCTION: @entity2909 are the most common @entity5 of the esophagus. Although classically surgical enucleation through thoracotomy or laparotomy has been widely accepted as treatment of choice, development of endoscopic and minimally invasive procedures has completely changed the surgical management of these @entity5 . MATERIAL AND METHODS: We performed a retrospective review of all @entity2910 operated at Hospital Universitario Ram  n y Cajal (Madrid, Spain) between January 1986 and December 2014, analyzing @entity1 ' demographic data, symptomatology, @entity5 size and location, diagnostic tests, surgical data, complications and postoperative stay. RESULTS: Thirteen @entity1 were found within that period, 8 @entity1 and 5 @entity1 , with a mean age of 53.62 years (range 35-70 years). Surgical enucleation was achieved in all @entity1 . In 8 cases (61.54%) a thoracic approach was performed (4 thoracotomies and 4 thoracoscopies), and in 5 cases (38.56%) an abdominal approach was performed (3 laparotomies and 2 laparoscopies); enucleation was carried out through a minimally invasive approach in 6 @entity1 (46.15%). There were no cases of endoscopic resection alone. Surgery mean length was 174.38 minutes (range 70-270 minutes) and median postoperative stay was 6.5 days (range 2-27 days). There was neither mortality nor cases of @entity3816 were described. No postoperative major complications were reported; however one @entity1 presented important @entity158 in his right hemithorax that required management and long term follow-up by the Pain Management Unit. With a mean follow-up of 165.57 months (median 170; range 29-336 months) no recurrences were reported. CONCLUSION: Enucleation is the treatment of choice for the majority of @entity2910 . In our experience, duration of the surgical procedure through minimally invasive approach was longer than surgery through open approach; however, postoperative stay was shorter in the first group. Paradoxically, incision @entity158 after surgery ( @entity9 ) was found to be higher in the minimally invasive approach group. Nevertheless, none of the results obtained in the study reached statistical significance, probably due to the small simple size.

Comparative study between open and minimally invasive approach in the surgical management of XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'benign tumors', 'tumors'] @entity2910 :: ('MESH:D004941', 'Disease') :: ['esophageal leiomyomas', 'esophageal leiomyoma'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity2909 :: ('MESH:D007889', 'Disease') :: ['Leiomyomas'] @entity9 :: ('MESH:D009437', 'Disease') :: ['thoracic neuralgia'] @entity3816 :: ('MESH:D007431', 'Disease') :: ['intraoperative complications']
@entity2910 :: (MESH:D004941,Disease) :: ['esophageal leiomyoma']
