90008233

open access

Accepted Manuscript

Thoracoscopic retrosternal gastric conduit resection in the supine position for gastric tube cancer

English (英語)

Asian Journal of Endoscopic Surgery

13(3)

461-464

Wiley

2019-10-03

2021-04-30

Introduction: Recent advances in the treatment for esophageal cancer have improved the prognosis after esophagectomy, but they have led to an increased incidence of gastric tube cancer. In most patients who underwent retrosternal reconstruction, median sternotomy is performed; it is associated with a risk of postoperative bleeding and osteomyelitis, and pain often negatively affects respiration. Here, we report the first case of thoracoscopic retrosternal gastric conduit resection in the supine position (TRGR‐S). Materials and Surgical Technique: A 75‐year‐old male patient was placed in the supine position. Four ports were placed in the left chest wall. The gastric tube was separated from the epicardium, sternum, and left brachiocephalic vein. Because of adhesions between the gastric tube and the right pleura, combined resection of the right pleura was performed. The dorsal side of the gastric tube was dissected before the ventral side, enabling the gastric tube to be suspended from the back of the sternum and, thus, making it easier to expose the surgical field. Next, pedicled jejunal reconstruction via the presternal route was performed. There were no postoperative complications. The pathological diagnosis was signet ring cell carcinoma (pT1b, pN0, M0, pStage I), indicating R0 resection. Discussion: TRGR‐S does not require sternotomy, reducing the risk of postoperative bleeding and osteomyelitis. In the presence of adhesions, TRGR‐S is safe and provides a good surgical view. It is also reliable procedure for resection of retrosternal gastric tube cancer, and it is ergonomic for surgeons.

thoracoscopic surgery

学術雑誌論文

© 2019 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd. This is the peer reviewed version of the following article: Kazumasa, Horie. et al. (2019), Thoracoscopic retrosternal gastric conduit resection in the supine position for gastric tube cancer. Asian Journal of Endoscopic Surgery., 13(3): 461-464., which has been published in final form at https://doi.org/10.1111/ases.12757. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.