A Successfully Treated Case of Cervico-thoracic Esophageal Cancer by Larynx-preserving Esophagectomy in Team Medication

  • Hagiwara Nobutoshi
    Department of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School
  • Matsutani Takeshi
    Department of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School
  • Nomura Tsutomu
    Department of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School
  • Nakamizo Munenaga
    Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Nippon Medical School
  • Yokoshima Kazuhiko
    Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Nippon Medical School
  • Kawagoe Tetsuro
    Department of Gastroenterology, Nippon Medical School
  • Kawami Noriyuki
    Department of Gastroenterology, Nippon Medical School
  • Miyashita Tsugihiro
    Department of Radiation Oncology, Nippon Medical School
  • Miyashita Masao
    Department of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School
  • Uchida Eiji
    Department of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School

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Other Title
  • チーム医療で喉頭温存食道切除が可能であった頸胸部進行食道癌の1例
  • ショウレイ ホウコク チーム イリョウ デ コウトウ オンゾン ショクドウ セツジョ ガ カノウ デ アッタ ケイ キョウブ シンコウ ショクドウガン ノ 1レイ

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Abstract

A 54-year-old male with a chief complaint of dysphagia was admitted to our hospital. Upper gastrointestinal endoscopy and esophagogram revealed a submucosal tumor in the cervico-thoracic esophagus, and pathological examination of the biopsy specimens revealed a squamous cell carcinoma. Computed tomography of the neck and chest showed cT4N0M0, cStage III. The patient received neoadjuvant chemotherapy (NAC) with cisplatin and 5-FU. Follow-up examinations after NAC evaluated a stable disease. The patient underwent larynx-preserving thoracoscopic esophagectomy. Reconstruction was done using a gastric tube through the retrosternal route and free jejunum graft with micro-vascular anastomosis. The postoperative course was uneventful and the patient had been able to eat most foods without aspiration. We herein describe the importance of team management for a cervico-thoracic esophageal cancer.<br>

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