• Med Princ Pract · Jan 2014

    Case Reports

    Video-assisted thoracic surgery for esophagus for treating locally recurrent gastric cancer at the anastomotic site.

    • Hitoshi Ojima, Akihiko Sano, Yasuyuki Fukai, Makoto Soda, and Hiroyuki Kuwano.
    • Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, Ota, Japan.
    • Med Princ Pract. 2014 Jan 1; 23 (2): 180-2.

    ObjectiveTo report a case of video-assisted thoracic surgery for esophagus (VATS-E) for the treatment of locally recurrent gastric cancer at the anastomotic site.Clinical Presentation And InterventionA 59-year-old man underwent total gastrectomy for gastric cancer. Histopathologically, it was mucinous adenocarcinoma [pT1(sm), pN1, sM0, PM(-), DM(-), stage IB]. Local recurrence was detected and he received chemotherapy and radiotherapy; histopathologically, it was identified as mucinous adenocarcinoma [pT1(sm), pN0, sM0, stage IA]. As the local recurrence was uncontrollable, he underwent VATS-E. At the 1-year follow-up, he was recurrence-free.ConclusionThe VATS-E minimally invasive surgery was a very useful technique for anastomotic recurrence after total gastrectomy in our patient.© 2013 S. Karger AG, Basel.

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