Outcomes of active operation during intensive followup for second primary malignancy after esophagectomy for thoracic squamous cell esophageal carcinoma

Motoyama, Satoru; Saito, Reijiro; Kitamura, Michihiko; Ogawa, Jun–ichi

doi:10.1016/j.jamcollsurg.2003.07.014

Cited by 30 publications

(58 citation statements)

References 7 publications

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“…Our standard operative procedure is right transthoracic esophagectomy and resection of the lesser curvature with dissection of the mediastinal (involving the periesophageal region and areas around trachea and bilateral main bronchus) and the abdominal (involving the perigastric region and areas around the celiac axis) lymph nodes [1,10,11] . For upper thoracic esophageal cancer, or when metastases involve neck and/or upper mediastinal lymph nodes, we add bilateral neck dissection and perform a so-called three-field lymph node dissection.…”

Section: Methodsmentioning

confidence: 99%

Extravascular Lung Water Measured Using Single Transpulmonary Thermodilution Reflects Perioperative Pulmonary Edema Induced by Esophagectomy

Sato

Motoyama²,

Maruyama³

et al. 2006

Eur Surg Res

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Pulmonary edema is the most frequent postoperative complication following esophagectomy for thoracic esophageal cancer. We enrolled 23 patients who underwent esophagectomy with extended lymph node dissection for thoracic esophageal cancer in a prospective observational clinical trial. We used the PiCCO device to measure extravascular lung water with the aim of determining whether it correlates with the respiratory index and whether it is predictive of pulmonary complications. Based on constant criteria, the tracheal tubes of 11 patients were removed on the morning of postoperative day 1 (extubation group), while 12 patients remained intubated (intubation group). These two groups significantly differed in that all patients in the extubation group recovered without any pulmonary complications, whereas 4 patients (33%) in the intubation group developed pulmonary complications. The extravascular lung water measured using PiCCO correlated significantly with the respiratory index. In the intubation group, both extravascular lung water and respiratory index were elevated 12 h after surgery and were even higher 24 h after surgery. The extravascular lung water measured using PiCCO reflects the level of postoperative pulmonary edema and predicts the pulmonary complications induced by esophagectomy with extended lymph node dissection.

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Section: Methodsmentioning

confidence: 99%

Extravascular Lung Water Measured Using Single Transpulmonary Thermodilution Reflects Perioperative Pulmonary Edema Induced by Esophagectomy

Sato

Motoyama²,

Maruyama³

et al. 2006

Eur Surg Res

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“…Generally the prognosis for patients who suffer from oesophageal carcinoma has been regarded as poor,4 , 5 but recent advances, especially in diagnostics but also in treatment of the described disease, have led to an improvement in the outcome. This results in an increased attention focused on the incidence of a second malignancy in the reconstructed gastric tube 6 , 7…”

Section: Introductionmentioning

confidence: 99%

Metachronous adenocarcinoma in a gastric tube after radical surgery for oesophageal cancer

Zygoń

Skokowski²,

Zieliński³

et al. 2010

Case Reports

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In recent years the prognosis for oesophageal squamous cell carcinoma patients has improved. Together with this improvement, the occurrence of second primary carcinoma, especially gastric carcinoma, in tubes constructed from the stomach after oesophagectomy must be taken into account. We report a case of a patient who had this clinical presentation, which was revealed not in the normal follow-up, but in a consecutive operation carried out because of an anastomotic problem.

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“…The relationship of esophageal carcinoma with other primary tumors, especially gastric cancer, has been thoroughly elucidated in the Japanese population (2)(3)(4)(5).…”

mentioning

confidence: 99%

“…According to literature data, 0.9% to 2% of patients after esophagectomy develop cancer in the gastric substitute (1,2,6), which is also the organ most commonly used in case of gastrointestinal reconstruction, considering patients after esophageal resection (1,5,7). The time elapsed between esophageal resection and gastric carcinoma diagnosis ranged between 16 months and 21 years (6), mean values ranging between 50 and 72 months (1,2,8).…”

mentioning

confidence: 99%

Primary Adenocarcinoma in an Oesophageal Gastric Graft – Case Report

Dranka-Bojarowska¹,

A²,

Grabarczyk³

et al. 2015

Polish Journal of Surgery

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Primary adenocarcinoma in the esophageal gastric graft is a rare complication diagnosed in patients with long-term survival. Most data concerning the diagnosis and treatment of patients with metachronic cancer in esophageal grafts is derived from Japan and South Korea. The diagnosis of cancer in esophageal gastric grafts in the European countries is rare. The study presented a case of a 66-year old male patient who, 30 months after an esophageal squamous cell cancer resection, was diagnosed with adenocarcinoma of the esophageal gastric graft. Despite control follow-up after the esophagectomy, cancer in the esophageal graft was detected during the stage that prevented performing radical surgery. The study presented the recommended diagnostic procedures and treatment options for esophageal gastric graft cancer, as well as review of available literature data.

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Outcomes of active operation during intensive followup for second primary malignancy after esophagectomy for thoracic squamous cell esophageal carcinoma

Cited by 30 publications

References 7 publications

Extravascular Lung Water Measured Using Single Transpulmonary Thermodilution Reflects Perioperative Pulmonary Edema Induced by Esophagectomy

Extravascular Lung Water Measured Using Single Transpulmonary Thermodilution Reflects Perioperative Pulmonary Edema Induced by Esophagectomy

Metachronous adenocarcinoma in a gastric tube after radical surgery for oesophageal cancer

Primary Adenocarcinoma in an Oesophageal Gastric Graft – Case Report

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