Single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy for esophageal replacement.
Asian J Endosc Surg
; 12(3): 366-371, 2019 Jul.
Article
in En
| MEDLINE
| ID: mdl-30549226
ABSTRACT
INTRODUCTION:
We present a novel approach to single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy in a child with long-segment corrosive esophageal stricture (CES). MATERIALS AND SURGICAL TECHNIQUE A 2.5-year-old boy with a history of caustic ingestion underwent periodic esophageal dilatations at 3-week intervals, four sessions of topical mitomycin C application, and a strict antacid/H2 antagonist therapy for 8 months. The esophageal replacement was indicated because of persistent corrosive esophageal stricture. First, thoracoscopic native esophagus dissection was performed. After gastric mobilization with single-incision laparoscopy, esophagectomy and esophagogastric anastomosis were performed through the cervical incision. There was no complication, and the patient had gained weight by the end of the 12-month follow-up.DISCUSSION:
Single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy is feasible, safe, and effective in patients with corrosive esophageal stricture.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Thoracoscopy
/
Esophagectomy
/
Laparoscopy
/
Esophageal Stenosis
Limits:
Child, preschool
/
Humans
/
Male
Language:
En
Journal:
Asian J Endosc Surg
Year:
2019
Document type:
Article
Affiliation country:
Turkey