Minimally invasive esophagectomy in a previously pneumonectomized patient.
J Laparoendosc Adv Surg Tech A
; 22(7): 695-700, 2012 Sep.
Article
em En
| MEDLINE
| ID: mdl-22845465
ABSTRACT
INTRODUCTION:
Surgical resection represents the only therapeutic action having a radical intent for the treatment of resectable esophageal neoplasms. Minimally invasive esophagectomy for esophageal cancer is being more and more frequently performed. Few cases of esophagectomy after pneumonectomy have been described in the literature, and, to our knowledge, none of them was performed by the minimally invasive technique. SUBJECT ANDMETHODS:
A 77-year-old woman, who had undergone left thoracotomic pneumonectomy due to squamous cell lung cancer 2 years before, underwent minimally invasive esophagectomy because of esophageal cancer at the authors' institution. The intervention was performed by right thoracoscopic esophageal mobilization with the patient in the prone position, followed by the laparoscopic and cervicotomic stages, with cervical anastomosis.RESULTS:
Total operative time was 230 minutes. Intensive care unit stay was 1 day, followed by a hospital stay of 13 days. We did not observe any major postoperative complication.CONCLUSIONS:
Minimally invasive esophagectomy with thoracoscopic esophageal mobilization in the prone position is a valid option in the treatment of esophageal cancer and may be feasible in previously left pneumonectomized patients.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Esofágicas
/
Esofagectomia
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
J Laparoendosc Adv Surg Tech A
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Itália