A Case of Esophageal Cancer Treated by Thoracoscopic Esophagectomy after Bilateral Cadaveric Lung Transplantation.

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-08-20 DOI:10.5761/atcs.cr.21-00203

Toshiaki Fukutomi, Yusuke Taniyama, Chiaki Sato, Hiroshi Okamoto, Hiromichi Niikawa, Yoshinori Okada, Takashi Kamei

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Abstract

Purpose: With de novo cancer, esophagectomy after lung transplantation (LTx) can be challenging because of intrathoracic adhesions, delayed wound healing, and postoperative pulmonary complications, which might be lethal.

Case presentation: A 52-year-old woman with esophageal cancer had undergone bilateral LTx for end-stage diffuse panbronchiolitis at 50 years of age. Thoracoscopic esophagectomy was performed. Bilateral bronchial arteries and subcarinal and bilateral bronchial lymph nodes were preserved to maintain blood supply to the transplanted bronchi. No ischemic changes were observed in either bronchi. The patient's postoperative course was uneventful. Although she underwent chemoradiation therapy for recurrence at the left cervical paraesophageal lymph node, she remains alive with good disease control and well-maintained respiratory function.

Conclusion: Minimally invasive surgery with careful attention to blood supply to the transplanted bronchi was useful for treating esophageal cancer after LTx.

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双侧尸体肺移植术后胸腔镜食管切除术治疗食管癌1例。

目的:对于新生癌症，肺移植后食管切除术(LTx)可能具有挑战性，因为胸内粘连，伤口愈合延迟，术后肺部并发症，这可能是致命的。病例介绍:一名52岁女性食管癌患者在50岁时因终末期弥漫性泛细支气管炎接受了双侧LTx。行胸腔镜食管切除术。保留双侧支气管动脉和隆突下及双侧支气管淋巴结，以维持移植支气管的血液供应。两支均未见缺血改变。病人的术后过程平安无事。虽然她接受了左侧颈部食管旁淋巴结复发的放化疗，但她仍然活着，疾病控制良好，呼吸功能维持良好。结论:注意移植支气管血供的微创手术是治疗食管癌LTx术后的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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