A new surgical procedure for synchronous esophageal squamous cell carcinoma and gastric adenocarcinoma: Case report: three cases reports

Medicine
Yunpeng Zhao, Bo Cong

Abstract

The stomach is always used to reconstruct the upper digestive tract for esophageal cancer operation. However, problems arise when the esophageal cancer and gastric cancer present at the same time. No medical literature mentioned about this surgical procedure till now. Majority of the patients had the sensation of obstruction when swallowing because of the esophageal tumor. Gastric adenocarcinoma was found when gastroscopy was performed. Synchronous esophageal squamous cell carcinoma and gastric adenocarcinoma were confirmed by biopsy pathology. We describe the new technique as: distal gastrectomy preserving the gastroepiploic vessels, Roux-en-Y gastrojejunostomy and thoracoscopic Ivor Lewis esophagectomy with chest anastomosis. Three patients accepted the surgery and recovered well without any complications. The patients did not undergo any postoperative adjuvant therapy and was doing well without any recurrence till date (23 months, 12 months, 6 months separately). This procedure was less invasive and easier to perform for synchronous early-stage gastric cardiac cancer and middle or lower third thoracic esophageal cancer. We recommend the indication as: esophageal tumor was located at least 27 cm away from the incisor teeth (f...Continue Reading

References

Feb 12, 2002·São Paulo Medical Journal = Revista Paulista De Medicina·Fernando Augusto Mardiros HerbellaChibly Michel Haddad
Jan 24, 2006·The Annals of Thoracic Surgery·Satoru MotoyamaJun-ichi Ogawa
Oct 26, 2006·The Annals of Thoracic Surgery·Ninh T NguyenSamuel E Wilson
Nov 27, 2007·The Annals of Thoracic Surgery·T Ninh NguyenMichael Stamos

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Methods Mentioned

BETA
gastric bypass
dissection

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