Eversion stripping of the esophagus with intraesophageal insufflation—A case report
| العنوان: | Eversion stripping of the esophagus with intraesophageal insufflation—A case report |
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| المؤلفون: | Takaya Nagasaki, Motoki Hato, Shuhei Ueno, Yoichiro Mori, Masahiro Kimura, Satoshi Taniwaki, Yuki Eguchi, Yoshiyuki Kuwabara, Yasuyuki Shibata, Hironori Tanaka, Akira Mitsui, Kotaro Mizuno, Nobuo Ochi |
| المصدر: | International Journal of Surgery Case Reports |
| بيانات النشر: | Elsevier BV, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Insufflation, medicine.medical_specialty, Transhiatal esophagectomy, Thoracic cavity, business.industry, medicine.medical_treatment, Invagination, Case Report, Eversion stripping, Esophageal cancer, medicine.disease, Surgery, 03 medical and health sciences, Dissection, 0302 clinical medicine, medicine.anatomical_structure, 030202 anesthesiology, 030220 oncology & carcinogenesis, Stripping (linguistics), medicine, Thoracotomy, Esophagus, business |
| الوصف: | Highlights • The indications for stripping of the esophagus have decreased due to the widespread of endoscopic mucosal resection and thoracoscopic surgery. • Even if indications for this procedure have decreased, this is an important option in the armamentarium of the esophageal surgeon. Introduction Patients with esophageal cancer frequently cannot tolerate thoracotomy due to their overall debilitated condition. Moreover, some patients have severe adhesions in the thoracic cavity. Eversion stripping of the esophagus is an option for resection in these patients. Presentation of case A 64-year-old man was admitted to our institution with the chief complaint of epigastric pain. Endoscopic examination showed a protruding lesion 22 cm from the incisors, with a superficial and circumferential mucosal irregularity on the distal side of the lesion. Biopsy revealed squamous cell carcinoma. Clinical stage was T1b(sm)N0M0, cStage I. In addition to the poor pulmonary status of the patient, adhesions in the intrathoracic cavity were predicted. The decision was made to perform esophageal resection without a thoracotomy. In order to ensure complete invagination of the esophagus, the esophagus was insufflated prior to stripping. The stripping process was observed with a gastroscope. During the stripping, the esophagus did not bunch up, and stripping was smooth and with minimal resistance. Discussion The stripping resection of the esophagus is an important option for the esophageal surgeon. In this case report, we describe a new eversion stripping method of the esophagus. This easy and reliable stripping method incorporates intraesophageal insufflation. Conclusion The indications for blunt esophageal dissection without thoracotomy have been decreasing. On the other hand, our method seems to be useful in optimal case of stripping of esophagus. |
| تدمد: | 2210-2612 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fc1c507b80f382dc175dc3062b40c492 https://doi.org/10.1016/j.ijscr.2017.05.013 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....fc1c507b80f382dc175dc3062b40c492 |
| قاعدة البيانات: | OpenAIRE |
Full Text via ClinicalKey | تدمد: | 22102612 |
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