A bilateral thoracic approach for esophageal cancer in the prone position.

Abstract

Esophagectomy in the prone position has recently been introduced as a less-invasive procedure for treating esophageal cancer. We herein present a case of esophageal squamous cell carcinoma (ESCC) treated with a bilateral thoracic approach in the prone position. The patient was a 69-year-old male diagnosed with middle thoracic ESCC. Computed tomography scans and fluorine-18-fluorodeoxyglucose revealed possible metastasis to the lymph nodes on the left dorsal side of the descending thoracic aorta (DTA). After preoperative chemotherapy, we dissected the lymph node metastasis on the left dorsal DTA using the left thoracic approach, following resection of the ESCC by a right thoracic approach in the same prone position. The postoperative course was uneventful, and the patient was discharged 23 days after surgery. A bilateral thoracic approach for esophageal cancer in the prone position may be a new option for surgically treating esophageal cancer.

• Authors: Yutaka Shimada, Atsushi Kawabe, Sanae Nakajima, Koichiro Hata, Yuwa Takahashi, Makoto Kume, Kazuhiro Tsukada
• Journal: Surgery today (Surg Today) Vol. 45 Issue 1 Pg. 91-5 (Jan 2015) ISSN: 1436-2813 [Electronic] Japan
• PMID: 25650458 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adenocarcinoma (surgery)
• Aged
• Carcinoma, Squamous Cell (secondary, surgery)
• Esophageal Neoplasms (pathology, surgery)
• Esophagectomy (methods)
• Follow-Up Studies
• Gastrectomy (methods)
• Humans
• Lymph Node Excision
• Lymphatic Metastasis
• Male
• Neoplasm Staging
• Neoplasms, Multiple Primary
• Patient Positioning (methods)
• Prone Position
• Stomach Neoplasms (surgery)
• Thoracic Surgical Procedures (methods)
• Treatment Outcome