Cancer of the gastric tube reconstructed through the posterior mediastinal route after radical surgery for esophageal cancer

2001 ◽  
Vol 49 (7) ◽  
pp. 466-469 ◽  
Author(s):  
Hiroyuki Suzuki ◽  
Michihiko Kitamura ◽  
Raijiro Saito ◽  
Satoru Motoyama ◽  
Jun-ichi Ogawa
Keyword(s):  
Esophageal Cancer ◽  
Gastric Tube ◽  
Radical Surgery ◽  
Posterior Mediastinal ◽  
Posterior Mediastinal Route

scholarly journals Chylothorax after esophagectomy treated with inguinal intranodal lymphangiography and transvenous retrograde thoracic duct embolization

2021 ◽  
Author(s):  
Yuta Sato ◽  
Yoshihiro Tanaka ◽  
Takeharu Imai ◽  
Hiroshi Kawada ◽  
Naoki Okumura ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Thoracic Duct ◽  
Gastric Tube ◽  
Treatment Options ◽  
Effective Treatment Option ◽  
Major Morbidity ◽  
Posterior Mediastinal ◽  
Posterior Mediastinal Route ◽  
Intranodal Lymphangiography ◽  
High Output

AbstractChylothorax after esophagectomy is a serious complication that is associated with major morbidity due to dehydration and malnutrition. Reoperation with ligation of the thoracic duct is considered for patients with high-output chyle leaks that have failed conservative management. In this report, we present the treatment options for chylothorax after esophagectomy: inguinal intranodal lymphangiography and transvenous retrograde thoracic duct embolization. A 74-year-old man with esophageal cancer had been operated with thoracoscopic esophagectomy. Six days after surgery, he presented with high-output chyle leaks. Conservative treatment did not result in a significant improvement. Inguinal intranodal lymphangiography and transvenous retrograde thoracic duct embolization were performed 13 days after surgery and were technically and clinically successful. Inguinal intranodal lymphangiography and transvenous retrograde thoracic duct embolization are an effective treatment option, especially for patients after esophagectomy with reconstruction performed via the posterior mediastinal route, without the potential for damage the gastric tube and omentum.

scholarly journals Reconstruction after esophagectomy for esophageal cancer: Retrosternal or posterior mediastinal route?

2011 ◽  
Vol 74 (11) ◽  
pp. 505-510 ◽  
Author(s):  
Mei-Lin Chan ◽  
Chih-Cheng Hsieh ◽  
Cheng-Wien Wang ◽  
Min-Hsiung Huang ◽  
Wen-Hu Hsu ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Posterior Mediastinal ◽  
Posterior Mediastinal Route

Esophageal cancer treatment in our institute from 1999 to 2005

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 15183-15183
Author(s):  
Y. Miyazaki ◽  
H. Imamura ◽  
T. Kishimoto ◽  
K. Yamamoto ◽  
H. Furukawa
Keyword(s):  
Esophageal Cancer ◽  
Surgical Treatment ◽  
Survival Rate ◽  
Cell Carcinoma ◽  
Neoadjuvant Chemoradiotherapy ◽  
The United States ◽  
Recurrent Nerve ◽  
Recurrent Nerve Palsy ◽  
Posterior Mediastinal ◽  
Posterior Mediastinal Route

15183 Background: 5 year survival rate of esophageal cancer in Japan reported to the Japanese Society for Esophageal Diseases from 1988 to 1994 (9,143 cases) was improved to 35.5% comparing to the rate of the beginning of 1980 which remained around 20%. This result was given by the increase of early cancer cases attributed to the progress of the ability of diagnosis, the improvement of the postoperative management, and the 3 field lymph node dissection introduced from the middle of 1980. Biological malignant potential and the modality of treatment for esophageal cancer in Japan differs from those in the United States. Methods: We studied clinicopathological characteristic and treatment results of 63 esophageal cancer patients in our institute from 1999 to 2005. Results: 63 patients consisted of 47 males and 16 females with mean age of 63.4±11.4. Out of 47 patients who underwent surgical treatment, 6 and 4 patients underwent neoadjuvant chemoradiotherapy and chemotherapy, respectively. 15 patients without surgical treatment consisted of 12 patients, including one patient after endoscopical mucosal resection, undergoing chemoradiotherapy, 2 patients undergoing chemotherapy, and 3 patients undergoing radiotherapy, respectively. Most common histological type was squamous cell carcinoma (55 patients), followed by adenocarcinoma (3 patients), small cell carcinoma(3 patients), others(2 patients), and unknown(1 patients). There was 1 surgical treatment-related death. The major complications were SSI (18 patients), anastomotic leakage(7 patients) and recurrent nerve palsy (5 patients). The 2-year survival rate of patients with surgical resection was 68.1%, while the rate of the unresectable patients was 38.9%.Since 2002, we have adopted posterior mediastinal route as a prime choice, rather than retrosternal route. The median amount of blood loss, rate of complications and duration of post operative hospital stay of each routes are 650/415(ml), 65/45(%), 35/22(day), respectively. These results suggested that posterior mediastinal route showed superiority comparing to restrosternal route. Conclusions: Backed by these outcomes, we will aim to establish a logical strategy for esophageal cancer therapy which could accompany fewer complications, respect quality of life and prolong survival time. No significant financial relationships to disclose.

scholarly journals Two cases of endoscopic submucosal dissection for gastric tube cancers reconstructed through the posterior mediastinal route

2015 ◽  
Vol 87 (1) ◽  
pp. 126-127
Author(s):  
Eiko Okamoto ◽  
Katsunori Ami ◽  
Yuko Karakama ◽  
Mayumi Kondoh ◽  
Hidetaka Akita ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Gastric Tube ◽  
Submucosal Dissection ◽  
Posterior Mediastinal ◽  
Posterior Mediastinal Route

436 PRONE THORACOSCOPIC ESOPHAGECTOMY FOR PATIENTS WITH LOW PULMONARY FUNCTION

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Gosuke Takiguchi ◽  
Taro Oshikiri ◽  
Manabu Horikawa ◽  
Yu Kitamura ◽  
Kazumasa Horie ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Respiratory Function ◽  
Operation Time ◽  
Thoracoscopic Esophagectomy ◽  
Control Group ◽  
Respiratory Disorder ◽  
Short Term ◽  
Postoperative Respiratory Complications ◽  
Posterior Mediastinal ◽  
Posterior Mediastinal Route

Abstract   Thoracoscopic esophagectomy in the prone position (TEP) for esophageal cancer is reported to have superiority in preserving postoperative respiratory function and reducing postoperative respiratory complications. In Japan, the majority of patients with esophageal cancer are smokers and have obstructive ventilation disorders. But, the feasibirity and safety of TEP for patients with low respiratory function is unclear. Objectives To clarify the feasibirity and safety of TEP for esophageal cancer patients with obstructive respiratory function. Methods The 95 patients with obstructive respiratory disorder who underwent TEP and gastric tube reconstruction via posterior mediastinal route for esophageal cancer from January 2016 to April 2019 were divided into the two groups, low respiratory function (LRF) group and the control group. Short-term outcomes were compared between two groups. Results The control group was 73 cases, and the LRF group was 22 cases. Propensity score matching using age, gender, cT, and cN as covariates was used to identify matched patients (22 per group) in both groups. There were no differences in operation time of overall and intrathoracic part, or blood loss in each group. In the postoperative complications, pneumonia (13.6% vs. 9.1%), recurrent laryngeal palsy (18.2% vs. 22.7%), anastomotic leakage (13.6% vs. 13.6%) and hospital stay (36.3 days vs 27.5 days) were no differences in both groups. Conclusion TEP can be feasible and safe for the patients with obstructive ventilation disorder and low respiratory function.

Feeding catheter gastrostomy at esophagectomy with gastric tube reconstruction through posterior mediastinal route

Esophagus ◽  
2011 ◽  
Vol 8 (3) ◽  
pp. 217-223 ◽  
Author(s):  
Itasu Ninomiya ◽  
Isamu Makino ◽  
Takashi Fujimura ◽  
Sachio Fushida ◽  
Katsunobu Oyama ◽  
...  
Keyword(s):  
Gastric Tube ◽  
Posterior Mediastinal ◽  
Posterior Mediastinal Route ◽  
Gastric Tube Reconstruction

Surgical Outcome of Colon Interposition by the Posterior Mediastinal Route for Thoracic Esophageal Cancer

2007 ◽  
Vol 83 (4) ◽  
pp. 1273-1278 ◽  
Author(s):  
Satoru Motoyama ◽  
Michihiko Kitamura ◽  
Reijiro Saito ◽  
Kiyotomi Maruyama ◽  
Yusuke Sato ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Surgical Outcome ◽  
Colon Interposition ◽  
Thoracic Esophageal Cancer ◽  
Posterior Mediastinal ◽  
Posterior Mediastinal Route

scholarly journals RESECTION OF CANCER IN THE GASTRIC TUBE USED IN RECONSTRUCTION AFTER RADICAL SURGERY FOR ESOPHAGEAL CANCER-REPORT OF FIVE CASES-

1997 ◽  
Vol 58 (12) ◽  
pp. 2870-2874
Author(s):  
Mitsuhiro HAYASHI ◽  
Atsushi NASHIMOTO ◽  
Otsuo TANAKA ◽  
Yoshiaki TSUCHIYA ◽  
Muneaki SANO ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Gastric Tube ◽  
Radical Surgery

scholarly journals Two Cases of Hiatal Hernia after Esophagectomy with Gastric Tube Reconstruction via Posterior Mediastinal Route

2017 ◽  
Vol 50 (11) ◽  
pp. 928-936
Author(s):  
Kosuke Sasaki ◽  
Yuichi Morishima ◽  
Yasuyoshi Toyoda ◽  
Daisuke Satomi ◽  
Satoshi Fukutomi ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Gastric Tube ◽  
Posterior Mediastinal ◽  
Posterior Mediastinal Route ◽  
Gastric Tube Reconstruction
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