1. Successful treatment of esophageal metastasis from hepatocellular carcinoma using the da Vinci robotic surgical system
- Author
-
Wiroon Boonnuch, Carnivale Nino, Arthur Andrew Christiano, Anusak Yiengpruksawan, and Thawatchai Akaraviputh
- Subjects
medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Case Report ,Liver transplantation ,Anastomosis ,medicine.disease ,Dysphagia ,digestive system diseases ,Surgery ,Robotic systems ,Esophageal Metastasis ,Hepatocellular carcinoma ,Esophageal stricture ,Esophageal dilatation ,medicine ,medicine.symptom ,business - Abstract
A 59-year-old man with metastatic an esophageal tumor from hepatocellular carcinoma (HCC) presented with progressive dysphagia. He had undergone liver transplantation for HCC three and a half years prevously. At presentation, his radiological and endoscopic examinations suggested a submucosal tumor in the lower esophagus, causing a luminal stricture. We performed complete resection of the esophageal metastases and esophagogastrostomy reconstruction using the da Vinci robotic system. Recovery was uneventful and he was been doing well 2 mo after surgery. α-fetoprotein level decreased from 510 ng/mL to 30 ng/mL postoperatively. During the follow-up period, he developed a recurrent esophageal stricture at the anastomosis site and this was successfully treated by endoscopic esophageal dilatation.
- Published
- 2010