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. 2021 Feb;69(2):405-408.
doi: 10.1007/s11748-020-01506-z. Epub 2020 Oct 9.

Distal gastrectomy for early gastric conduit carcinoma after Ivor-Lewis esophagectomy

Motohiro Hirao  1 , Takuya Hamakawa  2 , Kazuhiro Nishikawa  2 , Koji Takami  2 , Takeshi Kato  2 , Atsushi Miyamoto  2 , Masakazu Miyake  2 , Takashi Doi  2 , Masayuki Mano  3
Affiliations

Distal gastrectomy for early gastric conduit carcinoma after Ivor-Lewis esophagectomy

Motohiro Hirao et al. Gen Thorac Cardiovasc Surg. 2021 Feb.

Abstract

A metachronous neoplasm can develop in a gastric conduit used for reconstruction after esophagectomy for thoracic esophageal cancer. Surgical resection is sometimes necessary to treat this neoplasm. We report a method for performing minimally invasive gastrectomy with preservation of the proximal residual stomach through laparotomy for cancer in the distal side of gastric conduit after Ivor-Lewis esophagectomy. Furthermore, Roux-en-Y reconstruction was performed after gastrectomy. This minimally invasive partial gastrectomy for early gastric conduit cancer and followed Roux-en-Y reconstruction may lead to a favorable clinical outcome.

Keywords: Gastrectomy; Gastric conduit; Thoracic esophageal cancer.

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