Two cases of esophageal cancer with portal hypertension treated with esophagectomy with venous shunt procedure

Kenji Kikuchi, Shunichi Okushiba, Shuuji Kitashiro, You Kawarada, Toshiaki Shichinohe, Yuhei Yamamoto, Yoshito Komatsu, Toshiaki Morikawa, Hiroyuki Kato, Satoshi Kondo

研究成果: ジャーナルへの寄稿学術論文査読

1 被引用数 (Scopus)

抄録

Some 4-6% of esophageal cancer patients have liver cirrhosis, and the incidence of complication after esophageal cancer surgery in portal hypertension due to liver cirrhosis is high. One serious complication is anastomotic leakage due to congestion of venous flow in the early postoperative course. We conducted a venous shunt in addition to reconstruction of the esophagus after esophagectomy using the gastric tube in two cases of esophageal cancer with portal hypertension to avoid congestion in the gastric tube. In Case 1, a patient with portal hypertension due to liver cirrhosis had esophageal cancer type-III. After esophagectomy, we anastomosed the left gastric vein and the anterior jugular vein. In Case 2, a patient with portal hypertension due to chronic hepatitis had esophageal cancer type-II. After esophagectomy, we anastomosed the left gastric vein and the internal mammary vein. After anastomosis in both cases, we confirmed disappearance of congestion in the gastric tube. Short-term postoperative course are uneventful without serious complications such as anastomotic leakage.

本文言語英語
ページ(範囲)158-163
ページ数6
ジャーナルJapanese Journal of Gastroenterological Surgery
39
2
DOI
出版ステータス出版済み - 02-2006
外部発表はい

All Science Journal Classification (ASJC) codes

  • 外科
  • 消化器病学

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