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Background  Video assisted thoracoscopic resection of an esophageal leiomyoma offers distinct advantages over an open approach. Many papers have described various techniques of thoracoscopic resection.    Case presentation  We describe a 32-year old man who presented with intermittent dysphagia. Imaging studies showed a large esophageal leiomyoma. He underwent thoracoscopic enucleation using a three thoracic-ports technique.    Conclusion  Thoracoscopic enucleation can be technically performed using a three thoracic-ports technique.

Thoracoscopic enucleation of a large esophageal leiomyoma using a three thoracic ports technique