A Case of Siewert Type II Adenocarcinoma of Esophagogastric Junction Treated by Thoracoscopy Assisted Esophagectomy

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  • Takao Yoshimune
    Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Matsutani Takeshi
    Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School
  • Nomura Tsutomu
    Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School
  • Hagiwara Nobutoshi
    Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School
  • Matsuda Akihisa
    Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School
  • Maruyama Hiroshi
    Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Yoshida Hiroshi
    Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Katayama Hironori
    Department of Pathology, Nippon Medical School Tama Nagayama Hospital
  • Tanno Masataka
    Department of Pathology, Nippon Medical School Tama Nagayama Hospital
  • Uchida Eiji
    Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School

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Other Title
  • Siewert type II食道胃接合部腺癌に対し胸腔鏡下食道切除術を施行した1例
  • 症例報告 Siewert type Ⅱ食道胃接合部腺癌に対し胸腔鏡下食道切除術を施行した1例
  • ショウレイ ホウコク Siewert type Ⅱ ショクドウ イ セツゴウブセンガン ニ タイシ キョウコウキョウ カ ショクドウ セツジョジュツ オ シコウ シタ 1レイ

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Abstract

A 73-year-old woman was admitted to the hospital because of dysphagia. Esophgoscopy showed type 3 tumor at the lower thoracic esophagus and esophagogastric junction. Endoscopic biopsy confirmed Siewert type II adenocarcinoma of esophagogastric junction. Abdominal and chest CT examination revealed no lymph node and distant metastases. Clinical stage was II (T3, N0, M0). The patient underwent a thoracosopic subtotal esophagectomy in the prone position, and a laparoscopy assisted reconstruction of gastric tube in the supine position. Pathological diagnosis was well differentiated adenocarcionma (pT3, pN0, sM0, ly3, v1, fStage II). Postoperative course was uneventful. We attempted thoracosopic esophagectomy in the prone position to treat Siewert type II adenocarcinoma of esophagogastric junction.<br>

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