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Curative resection of gastric tube cancer by hand-assisted thoracoscopic surgery

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We report a 78-year-old male who underwent successful resection of a gastric tube cancer by hand-assisted thoracoscopic surgery. The patient was initially placed in the supine position, and the abdominal portion of the gastric tube was mobilized via upper midline laparotomy. A pedicled colonic graft supplied by the left colic artery was prepared. The patient was then moved to the left decubitus position, and five ports were placed in the right chest wall. The surgeon stood in front of the patient, and inserted his left hand into the right pleural cavity through the laparotomy incision. After the whole gastric tube was successfully mobilized, the patient was returned to the supine position. The gastric tube was reconstructed with the pedicled colonic graft via the subcutaneous route. The surgical resection margins were free of cancer. The patient currently survives more than 16 months after surgery.

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  1. Okamoto N, Ozawa S, Kitagawa Y, Shimizu Y, Kitajima M. Metachronous gastric carcinoma from a gastric tube after radical surgery for esophageal carcinoma. Ann Thorac Surg. 2004;77:1189–92.

    Article  PubMed  Google Scholar 

  2. Koyanagi K, Ozawa S, Ando N, Shih CH, Nakamura E, Takeuchi H, 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.

    Article  PubMed  CAS  Google Scholar 

  3. Mori S, Watanabe T, Oikawa K. Double cancer of the esophagus and stomach. Operation. 1972;26:687–93 (in Japanese).

    Google Scholar 

  4. Sobin LH, Gospodarowicz MK, Wittekind Ch. UICC TNM classification of malignant tumours. 7th ed. Oxford: Wiley-Blackwell; 2009.

    Google Scholar 

  5. Motoyama S, Saito R, Kitamura M, Suzuki H, Nakamura M, Okuyama M, et al. Prospective endoscopic follow-up results of reconstructed gastric tube. Hepatogastroenterology. 2003;50:666–9.

    PubMed  Google Scholar 

  6. Ozawa S, Tachimori Y, Baba H, Fujishiro M, Matsubara H, Numasaki H, et al. Comprehensive registry of esophageal cancer in Japan, 2004. Esophagus. 2012;9:75–98.

    Article  Google Scholar 

  7. D’Journo XB, Ouattara M, Loundou A, Trousse D, Dahan L, Nathalie T, et al. Prognostic impact of weight loss in 1-year survivors after transthoracic esophagectomy for cancer. Dis Esophagus. 2012;25:527–34.

    Article  PubMed  Google Scholar 

  8. Shiozaki A, Fujiwara H, Ichikawa D, Okamoto K, Komatsu S, Murayama Y, et al. Video-assisted surgery for gastric carcinoma arising in a gastric tube reconstructed retrosternally. Surg Today. 2012;42:209–13.

    Article  PubMed  Google Scholar 

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The authors declare that they have no financial or other conflict of interest.

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Correspondence to Takahiro Mori.

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Kato, T., Ohtani, H., Ueki, H. et al. Curative resection of gastric tube cancer by hand-assisted thoracoscopic surgery. Esophagus 10, 123–127 (2013).

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