Minimally invasive resection of synchronous thoracic esophageal and gastric carcinomas followed by reconstruction: a case report

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• 作者：Masayuki Honda ; Hiroyuki Daiko ; Takahiro Kinoshita ; Takeo Fujita…
• 关键词：TSEP ; LTG ; Minimally invasive surgery ; Synchronous carcinomas ; Laparoscopy ; assisted colonic reconstruction
• 刊名：Surgical Case Reports
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：1
• 期：1
• 全文大小：3746KB
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• 作者单位：Masayuki Honda (2)
  Hiroyuki Daiko (1)
  Takahiro Kinoshita (2)
  Takeo Fujita (1)
  Hidehito Shibasaki (2)
  Toshiro Nishida (2)
  
  2. Department of Gastrointestinal Oncology, Gastric Surgery Division, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-0882, Kashiwa, Chiba, Japan
  1. Department of Gastrointestinal Oncology, Esophageal Surgery Division, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-0822, Kashiwa, Chiba, Japan
  
• 刊物类别：Surgery;
• 刊物主题：Surgery;
• 出版者：Springer Berlin Heidelberg
• ISSN：2198-7793

文摘

We report on a case of synchronous carcinomas of the esophagus and stomach. A 68-year-old man was referred to our hospital for an abnormality found during his medical examination. Further evaluation revealed squamous cell carcinoma in the thoracic lower esophagus and gastric adenocarcinoma located in the middle third of the stomach. Thoracoscopic esophagectomy in the prone position (TSEP), laparoscopic total gastrectomy (LTG) with three-field lymph node dissection, and laparoscopically assisted colon reconstruction (LACR) were performed. The patient did not have any major postoperative complications. His pathological examination revealed no metastases in 56 harvested lymph nodes and no residual tumor. He was followed up for 30 months without recurrence. To our knowledge, this is the first report of esophageal and gastric synchronous carcinomas that were successfully treated with a combination of TSEP, LTG, and LACR. These operations may be a feasible and appropriate treatment for this disease. Keywords TSEP LTG Minimally invasive surgery Synchronous carcinomas Laparoscopy-assisted colonic reconstruction