Abstract
A 67-year-old man who had undergone a thoracoscopic esophagectomy and posterior mediastinal gastric tube reconstruction for thoracic esophageal cancer 9 years previously was endoscopically diagnosed as having gastric carcinoma arising from the reconstructed gastric tube. No evidence of metastasis was seen in imaging examinations, and the depth of tumor invasion was suspected to be the submucosal layer. Based on these results, we decided that surgery, rather than endoscopic resection, was indicated. The tumor was located in the upper abdomen. Therefore, we performed a partial resection of the gastric tube. Sentinel nodes (SN) were identified using the Hyper Eye Medical System II. Metastasis was not observed in any of the selected SN. While the treatment strategy for gastric tube cancer after an esophagectomy remains controversial, minimally invasive surgery with sentinel node navigation surgery appears to be clinically useful. However, the method of SN dissection should be investigated with due consideration given to arterial preservation.
Similar content being viewed by others
References
Bamba T, Kosugi S, Takeuchi T, et al. Surveillance and treatment for second primary cancer in the gastric tube after radical esophagectomy. Surg Endosc. 2010;24:1310–7.
Koyanagi K, Ozawa S, Ando N, et al. Case report: metachronous early gastric carcinoma in a reconstructed gastric tube after radical operation for oesophageal carcinoma. J Gastroenterol Hepatol. 1998;13:311–5.
Okamoto N, Ozawa S, Kitagawa Y, et al. Metachronous gastric carcinoma from a reconstructed gastric tube after radical surgery for esophageal carcinoma. Ann Thorac Surg. 2004;77:1189–92.
Kitagawa Y, Fujii H, Mukai M, et al. The role of the sentinel lymph node in gastrointestinal cancer. Surg Clin N Am. 2000;80:1799–809.
Ryu KW, Eom BW, Nam BH, et al. Is the sentinel node biopsy clinically applicable for limited lymphadenectomy and modified gastric resection in gastric cancer? A meta-analysis of feasibility studies. J Surg Oncol. 2011;104:578–84.
Wang Z, Dong ZY, Chen JQ, et al. Diagnostic value of sentinel lymph node biopsy in gastric cancer; a meta-analysis. Ann Surg Oncol. 2012;19:1541–50.
Kitagawa Y, Takeuchi H, Takagi Y, et al. Sentinel node mapping for gastric cancer: a prospective multicenter trial in Japan. J Clin Oncol. 2013;31:3704–10.
Nimura H, Narimiya N, Mitsumori N, et al. Infrared ray electronic endoscopy combined with indocyanine green injection for detection of sentinel nodes of patients with gastric cancer. Br J Surg. 2004;91:575–9.
Tajima Y, Yamazaki K, Masuda Y, et al. Sentinel node mapping guided by indocyanine green fluorescence imaging in gastric cancer. Ann Surg. 2009;249:58–62.
Kelder W, Nimura H, Mitsumori N, et al. Sentinel node mapping with indocyamine green (ICG) and infrared ray detection in early gastric cancer; an accurate method that enables a limited lymphadenectomy. Eur J Surg Oncol. 2010;36:552–8.
Kusano M, Tajima Y, Yamazaki K, et al. Sentinel node mapping guided by indocyamine green fluorescence imaging; a new methods for sentinel node navigation surgery in gastrointestinal cancer. Dig Surg. 2008;25:103–8.
Honda T, Katare RG, Sadsaguri S, et al. Preliminary experience for the evaluation of the intraoperative graft patency with real color charge-coupled device camera system: an advanced device for simultaneous capturing of color and clear-infrared images during coronary artery bypass graft. Interact Cardiovasc Thoracic Surg. 2009;9:150–4.
Yoshida M, Furukawa T, Morikawa Y, et al. The development and achievement of endoscopic surgery, robotic surgery and function-preserving surgery. Jpn J Clin Oncol. 2010;40:863–9.
Yoshida M, Kubota K, Kurida J, et al. Indocyamine green injection for detecting sentinel nodes using color fluorescent camera in the laparoscopy-assisted gastrectomy. J Gastroenterol Hepatol. 2012;27:29–33.
Ryu KW. The future of sentinel node orientated tailored approach in patients with early gastric cancer. J Gastric Cancer. 2012;12:1–2.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflicts of interest to disclose.
Rights and permissions
About this article
Cite this article
Oguma, J., Ozawa, S., Kazuno, A. et al. Sentinel node navigation surgery with indocyanine green fluorescence-guided method for metachronous early gastric carcinoma arising from reconstructed gastric tube after esophagectomy. Gen Thorac Cardiovasc Surg 64, 298–301 (2016). https://doi.org/10.1007/s11748-016-0632-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-016-0632-5