Laparoscopic Transhiatal Esophagectomy With En Bloc Posterior Tracheal Wall Resection

Laparoscopic Transhiatal Esophagectomy With En Bloc Posterior Tracheal Wall Resection

Esophageal adenoid cystic carcinoma is a rare cancer that is a challenge to treat because the tumor often invades local structures. Complete resection with grossly negative margins is key to disease-free survival. We describe a case in which the esophageal tumor invaded a significant portion of the...

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Bibliographic Details
Published in:The Annals of thoracic surgery Vol. 114; no. 6; pp. e409 - e411
Main Authors: Pendleton, Audrey C., Stenson, Kerstin, Tabachnick, Deborah, Seder, Christopher W.
Format: Journal Article
Language:English
Published: Netherlands Elsevier Inc 01-12-2022
Subjects:
Carcinoma, Adenoid Cystic - surgery
Esophageal Neoplasms
Esophagectomy
Humans
Laparoscopy
Trachea - pathology
Trachea - surgery
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Summary:Esophageal adenoid cystic carcinoma is a rare cancer that is a challenge to treat because the tumor often invades local structures. Complete resection with grossly negative margins is key to disease-free survival. We describe a case in which the esophageal tumor invaded a significant portion of the posterior trachea, making a tracheal resection with primary anastomosis impossible. Therefore, to resect the tumor completely, we performed a laparoscopic esophagectomy and posterior tracheal resection with tracheoplasty using a rotational flap while the patient was on venovenous extracorporeal membrane oxygenation.
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2022.01.061