Synchronous double primary cancer of the esophagus and ampulla of Vater successfully treated by a two-stage operation: report of a case: Two-stage operation for double primary cancer

Masahide Fukaya, Hideki Nishio, Shinichiro Kobayashi, Keita Itatsu, Kohei Funasaka, Yoshie Shimoyama, Masato Nagino

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

A 68-year-old man was diagnosed with local recurrent cancer of the ampulla of Vater by follow-up endoscopy 3 years after an endoscopic papillectomy. A screening endoscopy found superficial middle thoracic esophageal cancer. The patient required an esophagectomy and pancreatoduodenectomy. We chose a two-stage operation for the esophageal cancer and the local recurrent cancer of the ampulla of Vater, both to reduce surgical invasiveness and to circumvent the lower curability. The first-stage operation consisted of a right transthoracic subtotal esophagectomy with mediastinal and cervical lymph node dissection, external esophagostomy of the neck, and gastrostomy. Forty days after the first surgery, a gastroduodenal artery- and right gastroepiploic vessel-preserving pancreatoduodenectomy with Child’s reconstruction was performed as the second-stage surgery. Esophageal reconstruction was achieved using a gastric tube via the percutaneous route with vascular anastomosis.

Original languageEnglish
Pages (from-to)295-300
Number of pages6
JournalEsophagus
Volume13
Issue number3
DOIs
Publication statusPublished - 01-07-2016
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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