Esophageal leiomyosarcoma is the commonest of all esophageal sarcomas but yet has a very low incidence. These tumors have been resected by the open approach so far. We describe the steps and challenges involved in the thoracoscopic excision of a huge leiomyosarcoma of the esophagus.
Keywords: leiomyosarcoma of esophagus; minimally invasive esophagectomy; thoracoscopic esophagectomy.