A minimally invasive abdominal and left thoracic approach as a palliative treatment for adenocarcinoma of the esophagogastric junction with severe stenosis : A case report

Takeuchi, Yuta; Ebihara, Yuma; Nakanishi, Yoshitsugu; Asano, Toshimichi; Noji, Takehiro; Kurashima, Yo; Murakami, Soichi; Nakamura, Toru; Tsuchikawa, Takahiro; Okamura, Keisuke; Shichinohe, Toshiaki; Hirano, Satoshi

A minimally invasive abdominal and left thoracic approach as a palliative treatment for adenocarcinoma of the esophagogastric junction with severe stenosis : A case report

Takeuchi, Yuta; Ebihara, Yuma; Nakanishi, Yoshitsugu et al.

Asian journal of endoscopic surgery, 2020, 13(2), 215-218

Permalink : https://hdl.handle.net/2115/80856

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アクセス権	open access
URI	https://hdl.handle.net/2115/80856
タイトル	A minimally invasive abdominal and left thoracic approach as a palliative treatment for adenocarcinoma of the esophagogastric junction with severe stenosis : A case report
著者	Takeuchi, Yuta ; Ebihara, Yuma ; Nakanishi, Yoshitsugu ; Asano, Toshimichi ; Noji, Takehiro ; Kurashima, Yo ; Murakami, Soichi ; Nakamura, Toru ; Tsuchikawa, Takahiro ; Okamura, Keisuke ; Shichinohe, Toshiaki ; Hirano, Satoshi
著者名 Takeuchi, Yuta
e-Rad_Researcher 50632981 著者名 Ebihara, Yuma
e-Rad_Researcher 40447058 著者名 Nakanishi, Yoshitsugu
e-Rad_Researcher 10756688 著者名 Asano, Toshimichi
e-Rad_Researcher 10739296 著者名 Noji, Takehiro
e-Rad_Researcher 40374350 著者名 Kurashima, Yo
e-Rad_Researcher 80706573 著者名 Murakami, Soichi
e-Rad_Researcher 70645796 著者名 Nakamura, Toru
e-Rad_Researcher 50507572 著者名 Tsuchikawa, Takahiro
e-Rad_Researcher 90724401 著者名 Okamura, Keisuke
e-Rad_Researcher 70374353 著者名 Shichinohe, Toshiaki
e-Rad_Researcher 50322813 著者名 Hirano, Satoshi
言語	英語
キーワード	adenocarcinoma of the esophagogastric junction
	esophagogastric junction
	minimally invasive surgery
発行日	2020-04
出版者	John Wiley & Sons
収録物名	Asian journal of endoscopic surgery
巻(号)	13(2)
ページ	215-218
抄録	We report a novel technique for combined laparoscopy and thoracoscopy for far-advanced adenocarcinoma of the esophagogastric junction (AEG). A 56-year-old man presented with far-advanced AEG, and an esophagogastroduodenoscopy revealed a type 2 lesion that encircled the esophagogastric junction. CT revealed stenosis of the esophagogastric junction, suspected invasion into the left side of the diaphragm, and lymph node metastases in the abdomen. We diagnosed Siewert type II AEG (cT4aN1M0, cStage IIIA) according to the Japanese Classification of Gastric Carcinoma, version 14. Laparoscopic and thoracoscopic proximal gastrectomy and lower esophagectomy with double-tract reconstruction were performed as a palliative resection via a minimally invasive abdominal and left thoracic approach. However, localized peritoneal dissemination was detected. The patient was discharged with no postoperative morbidity. Hence, a minimally invasive abdominal and left thoracic approach provides good visualization, and it is safe for lower esophageal transection and intrathoracic anastomosis in the treatment of locally advanced AEG invading the surrounding tissues.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	This is the peer reviewed version of the following article: Takeuchi, Y, Ebihara, Y, Nakanishi, Y, et al. A minimally invasive abdominal and left thoracic approach as a palliative treatment for adenocarcinoma of the esophagogastric junction with severe stenosis: A case report. Asian J Endosc Surg. 2020; 13: 215-218, which has been published in final form at https://doi.org/10.1111/ases.12718. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
PISSN	1758-5902
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1111/ases.12718