Exophagectomy Combined with Resectiion of Invaded Aorta for T4 Esophageal Carcinoma.

대동맥 침습이있었던 식도암의 절제수술

  • 신화균 (연세대학교 의과대학 영동세브란스병원 호흡기센터 흉부외과) ;
  • 이두연 (연세대학교 의과대학 영동세브란스병원 호흡기센터 흉부외과) ;
  • 김상진 (연세대학교 의과대학 영동세브란스병원 진단방사선과) ;
  • 김부연 (연세대학교 의과대학 영동세브란스병원 호흡기센터 흉부외) ;
  • 이성수 (연세대학교 의과대학 영동세브란스병원 호흡기센터 흉부외과) ;
  • 금기창 (연세대학교 의과대학 영동세브란스병원 치료방사선과)
  • Published : 2000.01.01

Abstract

Advanced esophageal carcinoma which invades into adjacent organs are classified as T4 esophageal cancer,. Its complete resection without residual tumor would be difficult. Preoperative chemoradiotherapy and combined modality therapy are being tried to improve survival in patients with T4 esophageal carcinoma. In a 74-year-old man a 6cm squamous cell carcinoma of the esophagus with invasion of the thoracic aorta was detected (T4). After neoadjuvant chemoradiotherapy the patient was operated on using bio-pump with aorto-femoral cannulation. The invased segment of descending aorta was resected and reconstructed with a graft. The tumor was resected and EG anastomosis was done. The postoperative period was uneventful the patient was discharged after good condition and has been well to now.

Keywords

References

  1. Textbook of Surgery Tumors of the esophagus Orringer MB.;Sabiston DC Jr(ed.);Lyerly HK(ed.)
  2. Principles of Surgery Esophagus and diaphragmatic hernia Peter JH;DeMeester Jr.;Schwartz SI(ed.);Shires GT(ed.);Spencer FC(ed.)
  3. Arch Surg v.131 The role of neoadjuvant therapy in surgically resectable esophageal cancer Swisher SG;Holmes GC;Hunt KK,(et al.)
  4. Proc Am Soc Clin Oncol v.15 Concomitant radiotherapy and chemotherapy followed in esophageal carcinoma with bronchotracheal involveement Sileni VC;Tomio L;Koussis H,(et al.)
  5. Ar Surg v.133 Neoadjuvant chemoradiotherapy for esophageal cancer: Is it worthwhile? Tamim WZ;Davidson RS;quinlan RM,(et al.)