Left minimally invasive esophagectomy in a patient with synchronous esophageal and lung cancers: Case report

Medicine
Baihua ZhangYong Zhou

Abstract

Minimally invasive esophagectomy (MIE) have been increasingly used and are regarded as suitable alternatives to open esophagectomy. However, few previous reports described minimally invasive esophagectomy using a left-sided approach. A 71-year-old man was admitted to our hospital because of progressive dysphagia. Synchronous double primary thoracic esophageal and left lung cancers were considered before the operation. A lobectomy and MIE, via a left video-assisted thoracoscopic approach, was performed. Preparation of a gastric conduit and an intra-abdominal lymphadenectomy were completed by laparoscopy and a cervical anastomosis was made. In addition, a cervical mediastinoscopy was performed to dissect the lymph nodes along the bilateral recurrent laryngeal nerves. No postoperative complications were observed. The patient achieved a favorable short-term outcome. This is the first report of a patient with synchronous esophageal and left lung cancers treated with minimally invasive resection via left thoracoscopy, laparoscopy, and cervical mediastinoscopy. Our results showed that the left MIE approach in combination with cervical mediastinoscopy is potentially most appropriate for some esophageal cancer patients, when the right M...Continue Reading

References

Jun 20, 2002·Japanese Journal of Clinical Oncology·Kenji KageiMichihiro Ueda
Mar 13, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ho Jin KimSeung-Il Park
Oct 16, 2015·BMC Cancer·Feng LiYi-Long Wu
Nov 6, 2015·Interactive Cardiovascular and Thoracic Surgery·Gopal SinghJoshua Sonett
Dec 23, 2016·The Annals of Thoracic Surgery·Michael J ThomasRyan A Macke

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Methods Mentioned

BETA
dissection
surgical resection

Software Mentioned

MIE

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