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Successful minimally invasive two‐stage operation for rare synchronous cancers of the esophagus and the pancreatic head: A case report
- Source :
- Asian Journal of Endoscopic Surgery. 13:410-414
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- We report the case of a 70-year-old woman with synchronous advanced esophageal cancer and pancreatic head cancer. To reduce the surgical invasiveness, we performed a two-stage operation that included percutaneous endoscopic gastrostomy and minimally invasive esophagectomy. In the first stage, we performed a percutaneous endoscopic gastrostomy, a thoracoscopic esophagectomy with cervical and mediastinal lymph node dissection, and an esophagostomy without a laparotomy. The second stage, which was performed 28 days after the first operation, consisted of a total gastrectomy, pancreaticoduodenectomy, colonic reconstruction, and jejunostomy. Fifty days after the second operation, the patient was discharged from the hospital. A two-stage operation that includes minimally invasive esophagectomy seems to be useful for avoiding serious postoperative complications, even in patients with rare, synchronous advanced cancers of the esophagus and the pancreatic head.
- Subjects :
- Esophagostomy
medicine.medical_specialty
business.industry
medicine.medical_treatment
General Medicine
Esophageal cancer
Pancreaticoduodenectomy
medicine.disease
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
030220 oncology & carcinogenesis
Percutaneous endoscopic gastrostomy
Laparotomy
Mediastinal lymph node
Jejunostomy
medicine
030211 gastroenterology & hepatology
Esophagus
business
Subjects
Details
- ISSN :
- 17585910 and 17585902
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- Asian Journal of Endoscopic Surgery
- Accession number :
- edsair.doi...........bec748382e326575021cb6893b36cd2d