Because of the potential malignancy of esophageal leiomyoma larger than 2 cm in diameter, appropriate treatment options are needed [
1]. Thoracoscopic resection (TR) has replaced traditional thoracotomy, and recent studies have concluded that submucosal tunneling endoscopic resection (STER) is safe and effective for tumors less than 3 cm in diameter [
2,
3]. Although both are effective, we believe that STER may be less invasive. …