Korean J Thorac Cardiovasc Surg.
2000 Jan;33(1):103-106.
Exophagectomy Combined with Resectiion of Invaded Aorta for T4 Esophageal Carcinoma
- Affiliations
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- 1Department of Thoracic &Cardiovascular Surgery, Respiratory Center, Yongdong Severance Hospital, Yonsei University College of Medicine.
- 2Department of Radiology, Yongdong Severance Hospital, Yonsei University College of Medicine.
- 3Department of Radiation Oncology, Yongdong Severance Hospital, Yonsei University College of Medicine.
Abstract
- Advanced esophageal carcinoma which invades into adjacent organs are classified as T4 esophageal cancer,. Its complete resection without residual tumor would be difficult. Preoperative chemoradiotherapy and combined modality therapy are being tried to improve survival in patients with T4 esophageal carcinoma. In a 74-year-old man a 6cm squamous cell carcinoma of the esophagus with invasion of the thoracic aorta was detected (T4). After neoadjuvant chemoradiotherapy the patient was operated on using bio-pump with aorto-femoral cannulation. The invased segment of descending aorta was resected and reconstructed with a graft. The tumor was resected and EG anastomosis was done. The postoperative period was uneventful the patient was discharged after good condition and has been well to now.
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