Two cases of esophagectomy under mediastinoscopy in salvage surgery for esophageal cancer

Kenji Kikuchi, Toshiaki Shichinohe, Shunichi Okushiba, Shuuji Kitashiro, Yo Kawarada, Hiroto Manase, Satoshi Hirano, Satoshi Kondo

Research output: Contribution to journalArticle

Abstract

Although salvage esophagectomy after definitive chemoradiation is more invasive than standard esophagectomy and causes many complications, some reports indicate that salvage surgery is more effective than other therapeutic options in recurrent esophageal cancer. Safer surgical procedures must be set for salvage esophagectomy. We conducted salvage esophagectomy under mediastinoscopy for middle and lower esophageal cancer. Case 1 : A 56-year-old man diagnosed with stage II esophageal cancer, experienced tumor growth following chemoradiation. Because the tumor was localized in the lower esophagus, we conducted esophagectomy under mediastinoscopy to minimize invasiveness the patient. Minor leakage in the postoperative course was cured with conservative therapy. Case 2 : A 54-year-old man diagnosed with stage II esophageal cancer, and undergoing chemoradiation developed esophageal perforation and mediastinitis during therapy that were cured with coservative therapy. At the end of the second course of chemotherapy, he suffered severe esophageal narrowing, so we conducted transhiatal esophagectomy under mediastinoscopy. His postoperative course was good and he was discharged on postoperative day 16.

Original languageEnglish
Pages (from-to)29-34
Number of pages6
JournalJapanese Journal of Gastroenterological Surgery
Volume41
Issue number1
DOIs
Publication statusPublished - 01-2008

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

Fingerprint Dive into the research topics of 'Two cases of esophagectomy under mediastinoscopy in salvage surgery for esophageal cancer'. Together they form a unique fingerprint.

  • Cite this

    Kikuchi, K., Shichinohe, T., Okushiba, S., Kitashiro, S., Kawarada, Y., Manase, H., Hirano, S., & Kondo, S. (2008). Two cases of esophagectomy under mediastinoscopy in salvage surgery for esophageal cancer. Japanese Journal of Gastroenterological Surgery, 41(1), 29-34. https://doi.org/10.5833/jjgs.41.29