A new operative technique for the resection of gastric tube cancer by means of lifting the anterior chest wall and videoscope-assisted surgery

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
Y HosoyaH Nagai

Abstract

The prolonged survival of patients receiving surgery for esophageal cancer has led to an increased incidence of adenocarcinoma arising in the gastric tube used for reconstruction (gastric tube cancer). In patients with advanced gastric tube cancer, resection of the gastric tube should be considered, but currently available procedures are very invasive. In patients undergoing curative surgery for gastric tube cancer that has developed after reconstruction through the retrosternal route, the gastric tube is usually resected through a median sternotomy, followed by reconstruction with the colon. However, postoperative complications often occur and treatment outcomes remain poor. We developed a new surgical technique for gastric tube resection without performing a sternotomy in patients with gastric tube cancer who had previously undergone reconstruction through the retrosternal route. Our technique was used to treat two patients. Two Kirschner wires were passed subcutaneously through the anterior chest; the chest was lifted to extend the retrosternal space and secure an adequate surgical field. The stomach was separated from the surrounding tissue under videoscopic guidance. Total resection of the gastric tube was done. The retros...Continue Reading

References

Feb 24, 2001·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·A Ben-nunL A Best
May 23, 2002·Journal of the American College of Surgeons·Teiichi SugiuraYukihiro Nakanishi
Nov 27, 2002·Japanese Journal of Clinical Oncology·Kaori ShigemitsuNoriaki Tanaka
Jun 26, 2003·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·A LamblinJ-P Triboulet
Apr 6, 2004·The Annals of Thoracic Surgery·Nobuhiko OkamotoMasaki Kitajima

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Citations

Oct 5, 2019·Asian Journal of Endoscopic Surgery·Kazumasa HorieYoshihiro Kakeji

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