TY - JOUR
T1 - Staged resection and reconstruction following definitive chemoradiotherapy for perforated cervico-thoracic esophageal cancer with mediastinal abscess
AU - Hisamatsu, Yuichi
AU - Morita, Masaru
AU - Saeki, Hiroshi
AU - Egashira, Akinori
AU - Ohga, Takefumi
AU - Kakeji, Yoshihiro
AU - Fukushima, Junichi
AU - Shiratsuchi, Hideki
AU - Nakashima, Torahiko
AU - Maehara, Yoshihiko
N1 - Funding Information:
Acknowledgments We would like to thank Dr. Maho Ikeda at the Ureshino Medical Center Hospital for her assistance with the case patient study and figures. This work was supported in part by a Grant-in-Aid from the Ministry of Education, Culture, Sport, Science and Technology of Japan.
PY - 2011/9
Y1 - 2011/9
N2 - Esophageal perforation with mediastinal abscess formation is a potentially life-threatening complication after chemoradiotherapy (CRT) in patients with esophageal cancer. We present the case of a 64-year-old woman with cervico-thoracic esophageal cancer who had previously undergone distal gastrectomy. Definitive CRT was initially performed since the patient refused laryngectomy. However, she developed an esophageal fistula and a subsequent cervico- mediastinal abscess, which made oral intake impossible. In order to address the fistula, abscess, and cancer, we decided to perform a staged operation. The patient first underwent total pharyngo-laryngo-esophagectomy and abscess drainage. She next underwent esophageal reconstruction with an ileocolonic conduit through a subcutaneous route. The patient is currently alive and well after surgery. This case suggests that surgical resection may be performed in high-risk patients with cervico-thoracic esophageal cancer via a two-stage operation.
AB - Esophageal perforation with mediastinal abscess formation is a potentially life-threatening complication after chemoradiotherapy (CRT) in patients with esophageal cancer. We present the case of a 64-year-old woman with cervico-thoracic esophageal cancer who had previously undergone distal gastrectomy. Definitive CRT was initially performed since the patient refused laryngectomy. However, she developed an esophageal fistula and a subsequent cervico- mediastinal abscess, which made oral intake impossible. In order to address the fistula, abscess, and cancer, we decided to perform a staged operation. The patient first underwent total pharyngo-laryngo-esophagectomy and abscess drainage. She next underwent esophageal reconstruction with an ileocolonic conduit through a subcutaneous route. The patient is currently alive and well after surgery. This case suggests that surgical resection may be performed in high-risk patients with cervico-thoracic esophageal cancer via a two-stage operation.
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U2 - 10.1007/s10388-011-0276-6
DO - 10.1007/s10388-011-0276-6
M3 - Article
AN - SCOPUS:81255171637
VL - 8
SP - 197
EP - 201
JO - Esophagus
JF - Esophagus
SN - 1612-9059
IS - 3
ER -