McKeown esophagectomy for a thoracic esophageal carcinoma patient who has a history of definitive chemoradiotherapy for esophageal carcinoma and total pharyngolaryngectomy for hypopharyngeal cancer
Abstract A 64-year-old man, who had previously undergone definitive chemoradiotherapy (dCRT) and endoscopic resections for metachronous multiple esophageal squamous cell carcinoma (ESCC) and had also received total pharyngolaryngectomy (TPL) for hypopharyngeal cancer, was diagnosed with ESCC in the...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-03-01
|
| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12957-023-02999-7 |
| _version_ | 1797853820192030720 |
|---|---|
| author | Kotaro Sugawara Takashi Fukuda Yutaka Kishimoto Daiji Oka Satoru Shirakura Hiroaki Kanda Yoshiyuki Kawashima |
| author_facet | Kotaro Sugawara Takashi Fukuda Yutaka Kishimoto Daiji Oka Satoru Shirakura Hiroaki Kanda Yoshiyuki Kawashima |
| author_sort | Kotaro Sugawara |
| collection | DOAJ |
| description | Abstract A 64-year-old man, who had previously undergone definitive chemoradiotherapy (dCRT) and endoscopic resections for metachronous multiple esophageal squamous cell carcinoma (ESCC) and had also received total pharyngolaryngectomy (TPL) for hypopharyngeal cancer, was diagnosed with ESCC in the middle thoracic esophagus (cT3N0M0). Thoracoscopic McKeown esophagectomy was performed for the patient. Although the tumor was tightly adherent to the thoracic duct and both main bronchi, they were successfully mobilized. In order to maintain the blood supply to the trachea, we preserved the bilateral bronchial arteries and avoided prophylactic upper mediastinal lymph node dissection. Cervical end-to-side anastomosis between the jejunum and a gastric conduit was performed. Minor pneumothorax was managed conservatively, and the patient was discharged 44 days after the surgery. Overall, thoracoscopic McKeown esophagectomy was safely performed in a patient with a history of TPL and dCRT. Surgeons should be very careful to prevent tracheobronchial ischemia by optimizing the extent of lymph node dissection. |
| first_indexed | 2024-04-09T19:55:48Z |
| format | Article |
| id | doaj.art-e3dcf4c6723c4206abed68a9008a65a3 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-04-09T19:55:48Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-e3dcf4c6723c4206abed68a9008a65a32023-04-03T05:29:29ZengBMCWorld Journal of Surgical Oncology1477-78192023-03-012111610.1186/s12957-023-02999-7McKeown esophagectomy for a thoracic esophageal carcinoma patient who has a history of definitive chemoradiotherapy for esophageal carcinoma and total pharyngolaryngectomy for hypopharyngeal cancerKotaro Sugawara0Takashi Fukuda1Yutaka Kishimoto2Daiji Oka3Satoru Shirakura4Hiroaki Kanda5Yoshiyuki Kawashima6Department of Gastroenterological Surgery, Saitama Cancer Center HospitalDepartment of Gastroenterological Surgery, Saitama Cancer Center HospitalDepartment of Gastroenterological Surgery, Saitama Cancer Center HospitalDepartment of Gastroenterological Surgery, Saitama Cancer Center HospitalDivision of Head and Neck Surgery, Saitama Cancer CenterDepartment of Pathology, Saitama Cancer CenterDepartment of Gastroenterological Surgery, Saitama Cancer Center HospitalAbstract A 64-year-old man, who had previously undergone definitive chemoradiotherapy (dCRT) and endoscopic resections for metachronous multiple esophageal squamous cell carcinoma (ESCC) and had also received total pharyngolaryngectomy (TPL) for hypopharyngeal cancer, was diagnosed with ESCC in the middle thoracic esophagus (cT3N0M0). Thoracoscopic McKeown esophagectomy was performed for the patient. Although the tumor was tightly adherent to the thoracic duct and both main bronchi, they were successfully mobilized. In order to maintain the blood supply to the trachea, we preserved the bilateral bronchial arteries and avoided prophylactic upper mediastinal lymph node dissection. Cervical end-to-side anastomosis between the jejunum and a gastric conduit was performed. Minor pneumothorax was managed conservatively, and the patient was discharged 44 days after the surgery. Overall, thoracoscopic McKeown esophagectomy was safely performed in a patient with a history of TPL and dCRT. Surgeons should be very careful to prevent tracheobronchial ischemia by optimizing the extent of lymph node dissection.https://doi.org/10.1186/s12957-023-02999-7Esophageal carcinomaTotal pharyngolaryngectomySalvage esophagectomyThoracoscopic surgery |
| spellingShingle | Kotaro Sugawara Takashi Fukuda Yutaka Kishimoto Daiji Oka Satoru Shirakura Hiroaki Kanda Yoshiyuki Kawashima McKeown esophagectomy for a thoracic esophageal carcinoma patient who has a history of definitive chemoradiotherapy for esophageal carcinoma and total pharyngolaryngectomy for hypopharyngeal cancer World Journal of Surgical Oncology Esophageal carcinoma Total pharyngolaryngectomy Salvage esophagectomy Thoracoscopic surgery |
| title | McKeown esophagectomy for a thoracic esophageal carcinoma patient who has a history of definitive chemoradiotherapy for esophageal carcinoma and total pharyngolaryngectomy for hypopharyngeal cancer |
| title_full | McKeown esophagectomy for a thoracic esophageal carcinoma patient who has a history of definitive chemoradiotherapy for esophageal carcinoma and total pharyngolaryngectomy for hypopharyngeal cancer |
| title_fullStr | McKeown esophagectomy for a thoracic esophageal carcinoma patient who has a history of definitive chemoradiotherapy for esophageal carcinoma and total pharyngolaryngectomy for hypopharyngeal cancer |
| title_full_unstemmed | McKeown esophagectomy for a thoracic esophageal carcinoma patient who has a history of definitive chemoradiotherapy for esophageal carcinoma and total pharyngolaryngectomy for hypopharyngeal cancer |
| title_short | McKeown esophagectomy for a thoracic esophageal carcinoma patient who has a history of definitive chemoradiotherapy for esophageal carcinoma and total pharyngolaryngectomy for hypopharyngeal cancer |
| title_sort | mckeown esophagectomy for a thoracic esophageal carcinoma patient who has a history of definitive chemoradiotherapy for esophageal carcinoma and total pharyngolaryngectomy for hypopharyngeal cancer |
| topic | Esophageal carcinoma Total pharyngolaryngectomy Salvage esophagectomy Thoracoscopic surgery |
| url | https://doi.org/10.1186/s12957-023-02999-7 |
| work_keys_str_mv | AT kotarosugawara mckeownesophagectomyforathoracicesophagealcarcinomapatientwhohasahistoryofdefinitivechemoradiotherapyforesophagealcarcinomaandtotalpharyngolaryngectomyforhypopharyngealcancer AT takashifukuda mckeownesophagectomyforathoracicesophagealcarcinomapatientwhohasahistoryofdefinitivechemoradiotherapyforesophagealcarcinomaandtotalpharyngolaryngectomyforhypopharyngealcancer AT yutakakishimoto mckeownesophagectomyforathoracicesophagealcarcinomapatientwhohasahistoryofdefinitivechemoradiotherapyforesophagealcarcinomaandtotalpharyngolaryngectomyforhypopharyngealcancer AT daijioka mckeownesophagectomyforathoracicesophagealcarcinomapatientwhohasahistoryofdefinitivechemoradiotherapyforesophagealcarcinomaandtotalpharyngolaryngectomyforhypopharyngealcancer AT satorushirakura mckeownesophagectomyforathoracicesophagealcarcinomapatientwhohasahistoryofdefinitivechemoradiotherapyforesophagealcarcinomaandtotalpharyngolaryngectomyforhypopharyngealcancer AT hiroakikanda mckeownesophagectomyforathoracicesophagealcarcinomapatientwhohasahistoryofdefinitivechemoradiotherapyforesophagealcarcinomaandtotalpharyngolaryngectomyforhypopharyngealcancer AT yoshiyukikawashima mckeownesophagectomyforathoracicesophagealcarcinomapatientwhohasahistoryofdefinitivechemoradiotherapyforesophagealcarcinomaandtotalpharyngolaryngectomyforhypopharyngealcancer |