Esophagogastric junction cancer successfully treated by laparoscopic proximal gastrectomy and lower esophagectomy with intrathoracic double-flap technique: A case report

2017 ◽  
Vol 11 (2) ◽  
pp. 160-164 ◽  
Author(s):  
Kei Hosoda ◽  
Keishi Yamashita ◽  
Hiromitsu Moriya ◽  
Marie Washio ◽  
Hiroaki Mieno ◽  
...  
Keyword(s):  
Case Report ◽  
Esophagogastric Junction ◽  
Proximal Gastrectomy ◽  
Flap Technique ◽  
Laparoscopic Proximal Gastrectomy ◽  
Esophagogastric Junction Cancer

scholarly journals Two cases of intraoperative hemodynamic instability during combined thoracoscopic-laparoscopic surgery for esophagogastric junction carcinoma

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Makiko Tani ◽  
Yoshikazu Matsuoka ◽  
Mayu Sugihara ◽  
Ayaka Fujii ◽  
Tomoyuki Kanazawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Esophagogastric Junction ◽  
Intraoperative Complications ◽  
Proximal Gastrectomy ◽  
Tension Pneumothorax ◽  
Hemodynamic Instability ◽  
Laparoscopic Proximal Gastrectomy ◽  
Surgical Field ◽  
Coronary Ischemia ◽  
Thoracic And Abdominal

Abstract Background Intraoperative complications during combined thoracoscopic-laparoscopic surgery for esophagogastric junction (EGJ) carcinoma have not been reported as compared to those during surgery for esophageal carcinoma. We present two cases which had surgery-related hemodynamic instability during laparoscopic proximal gastrectomy and intra-mediastinal valvuloplastic esophagogastrostomy (vEG) with thoracoscopic mediastinal lymphadenectomy for EGJ carcinoma. Case presentation In case 1, the patient fell into hypotension with hypoxemia during laparoscopic vEG due to pneumothorax caused by entry of intraabdominal carbon dioxide. In case 2, ventricular arrythmia and ST elevation occurred during laparoscopic vEG. Pericardium retraction to secure surgical field during reconstruction compressed the coronary artery, which caused coronary malperfusion. These two events were induced by the surgical procedure, characterized by the following: (1) connection of the thoracic and abdominal cavities and (2) cardiac displacement during vEG. Conclusion These cases indicated tension pneumothorax and coronary ischemia are possible intraoperative complications specific to combined thoracoscopic-laparoscopic surgery for EGJ carcinoma.

scholarly journals Thoracoscopic double-flap reconstruction for esophagogastric junction cancer: A case report

2020 ◽  
Vol 67 ◽  
pp. 102-105
Author(s):  
Manato Ohsawa ◽  
Yoichi Hamai ◽  
Manabu Emi ◽  
Kazuaki Tanabe ◽  
Morihito Okada
Keyword(s):  
Case Report ◽  
Esophagogastric Junction ◽  
Flap Reconstruction ◽  
Esophagogastric Junction Cancer
Sign in / Sign up

Export Citation Format

Share Document