Korean J Thorac Cardiovasc Surg.
1998 Apr;31(4):418-421.
Thoracoscopic Esophagectomy for Esophageal Cancer: One Case Report
- Affiliations
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- 1Department of Thoracic & Cardiovascular Surgery, Sun General Hospital, Taejon, Korea.
- 2Department of Thoracic & Cardiovascular Surgery, Catholic University Medical College, Korea.
- 3Department of General Surgery, Sun General Hospital, Taejon, Korea.
Abstract
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Thoracoscopic esophagectomy can be performed in esophageal diseases to reduce the postoperative complications. Recently, We encountered a case of esophageal cancer and successfully treated it by thoracoscopic esophagectomy with gastric pull-up. A 59-year-old male was presented with swallowing difficulty and an esophagogram, esophagoscopy, and chest CT showed an ulcerating tumor on the lower esophagus. The operation was performed in three stages: mobilization of the esophagus by thoracoscopic surgery, construction of a gastric tube through a laparotomy, and cervical anastomosis between the esophagus and the gastric pull-through. Hoarseness developed postoperatively, and the postoperative esophagogram showed leakage at the esophagogastric anastomotic site. The anastomotic leakage was healed following surgical drainage and the patient was discharged in good health. Hoarseness subsided spontaneously two months after surgery.