Single-port inflatable mediastinoscopic esophagectomy is a cure for esophageal cancer patients: Case report

It is often difficult to perform transthoracic esophagectomy (TTE) in patients with chest deformities, as these patients may be lost to surgery for non-oncological reasons. In this case, we had a patient with esophageal squamous cell carcinoma (ESCC) who was not suitable for TTE because of extensive...

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Published in:Medicine (Baltimore) 2022-11, Vol.101 (46), p.e31619-e31619
Main Authors: Yibulayin, Xiayimaierdan, Xu, Keming, Yibulayin, Waresijiang, Abulaiti, Abulimiti, Wu, Zhenhua, He, Dan, Ran, Anpeng, Ma, Lei, Sun, Xiaohong
Format: Article
Language:English
Subjects:
Clinical Case Report
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophageal Squamous Cell Carcinoma - surgery
Esophagectomy - methods
Humans
Mediastinoscopy - methods
Neoplasm Recurrence, Local - surgery
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Summary:It is often difficult to perform transthoracic esophagectomy (TTE) in patients with chest deformities, as these patients may be lost to surgery for non-oncological reasons. In this case, we had a patient with esophageal squamous cell carcinoma (ESCC) who was not suitable for TTE because of extensive thoracic adhesions caused by the left pneumonectomy 8 years ago. ESCC. Based on Professor Fujiwara's surgical method, we further improved it by proposing a single-port inflatable mediastinoscopy combined with laparoscopic-assisted esophagectomy. At the time of this writing, computed tomography and gastroscopy revealed no stenosis of anastomosis, and no evidence of disease recurrence. To the best of our knowledge, the present case is the first single-port inflatable mediastinoscopic esophagectomy performed on a patient undergoing pneumonectomy.
ISSN:1536-5964
0025-7974
1536-5964
DOI:10.1097/MD.0000000000031619