Successful minimally invasive two-stage operation for rare synchronous cancers of the esophagus and the pancreatic head: A case report

Hiroki Ozawa, Hirofumi Kawakubo, Minoru Kitago, Shuhei Mayanagi, Kazumasa Fukuda, Rieko Nakamura, Koichi Suda, Norihito Wada, Yuko Kitagawa

Research output: Contribution to journalArticlepeer-review

Abstract

We report the case of a 70-year-old woman with synchronous advanced esophageal cancer and pancreatic head cancer. To reduce the surgical invasiveness, we performed a two-stage operation that included percutaneous endoscopic gastrostomy and minimally invasive esophagectomy. In the first stage, we performed a percutaneous endoscopic gastrostomy, a thoracoscopic esophagectomy with cervical and mediastinal lymph node dissection, and an esophagostomy without a laparotomy. The second stage, which was performed 28 days after the first operation, consisted of a total gastrectomy, pancreaticoduodenectomy, colonic reconstruction, and jejunostomy. Fifty days after the second operation, the patient was discharged from the hospital. A two-stage operation that includes minimally invasive esophagectomy seems to be useful for avoiding serious postoperative complications, even in patients with rare, synchronous advanced cancers of the esophagus and the pancreatic head.

Original languageEnglish
Pages (from-to)410-414
Number of pages5
JournalAsian journal of endoscopic surgery
Volume13
Issue number3
DOIs
Publication statusPublished - 2020 Jul 1

Keywords

  • esophageal cancer
  • minimally invasive esophagectomy
  • pancreatic head cancer

ASJC Scopus subject areas

  • Medicine(all)

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