Curative two-stage resection for synchronous triple cancers of the esophagus, colon, and liver: Report of a case

Yuji Akiyama, Takeshi Iwaya, Masafumi Konosu, Yoshihiro Shioi, Fumitaka Endo, Hirokatsu Katagiri, Hiroyuki Nitta, Toshimoto Kimura, Koki Otsuka, Keisuke Koeda, Masahiro Kashiwaba, Masaru Mizuno, Yusuke Kimura, Akira Sasaki

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Introduction Cases of synchronous triple cancers of the esophagus and other organs curatively resected are rare. Presentation of case A 73-year-old man was admitted to our hospital with bloody feces. He was diagnosed with synchronous triple cancers of the esophagus, colon, and liver. We selected a two-stage operation to safely achieve curative resection for all three cancers. The first stage of the operation comprised a laparoscopy-assisted sigmoidectomy and partial liver resection via open surgery. The patient was discharged without complications. Thirty days later, he was readmitted and thoracoscopic esophagectomy was performed. Although pneumonia-induced pulmonary aspiration occurred as a postoperative complication, it was treated conservatively. The patient was discharged on postoperative day 24. Discussion Esophagectomy is a highly invasive procedure; thus, simultaneous surgery for plural organs, including the esophagus, may induce life-threatening, severe complications. Two-stage surgery is useful in reducing surgical stress in high-risk patients. For synchronous multiple cancers, the planning of two-stage surgery should be considered for each cancer to maintain organ function and reduce the stress and difficulty of each stage. Conclusion We successfully treated synchronous triple cancers, including esophageal cancer, by a two-stage operation.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume13
DOIs
Publication statusPublished - 13-06-2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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