Lymphatic fistula after esophagectomy: what to do? Therefore, surgery is suitable if there is no spontaneous resolution. AIM: To analyze the lymphatic fistula as a complication of esophagectomy regarding malignant and benign diseases. METHODS: Seven patients with an average age of 42 years, being five males, presented postoperative chylotorax after esophagectomies accomplished for the epidermoid carcinoma five cases and advanced chagasic megaesophagus two cases. Total parenteral nutrition was indicated in all cases. Surgery was indicated with the persistence of the fistula.
|Published (Last):||1 June 2011|
|PDF File Size:||13.31 Mb|
|ePub File Size:||7.35 Mb|
|Price:||Free* [*Free Regsitration Required]|
We'd like to understand how you use our websites in order to improve them. Register your interest. A total of patients with gastric cancer in the upper third of the stomach were clinicopathologically evaluated. Of the patients, 82 had esophageal infiltration and did not. These two groups were compared. The study on patients who had undergone resection and radioisotope 99m Tc-phytate uptake testing revealed that it was important to dissect the lymph nodes predominantly nodes 7,9,11, and 16 during surgery in the patients with gastric cancer plus esophageal infiltration.
When cancer infiltration of the esophagus exceeds 1 cm, the preferred surgical procedure is lower esophagectomy and total gastrectomy with abdominal and intrathoracic lymphadenectomy via the left thoracoabdominal approach. When residual cancer is suggested in the more proximal esophageal stump due to intramural metastasis from vascular invasion, rapid pathologic diagnosis should be made by frozen sections during surgery and then subtotal esophagectomy by blunt removal of the esophagus proximally from the aortic arch using a left thoracotomy considered.
This is a preview of subscription content, log in to check access. Rent this article via DeepDyve. Papachristou, D. Google Scholar. Takeshita, K. Japanese Research Society for Gastric Cancer: The general rules for the gastric cancer study in surgery and pathology.
Japanese Society for Esophageal Diseases: Guide lines for the clinical and pathologic studies on carcinoma of the esophagus. Blot, W. Powell, J. Cancer 62 , Husemann, B. Finley, R. Blomjous, J. Cancer 70 , Goldfaden, D. Misumi, A. Habu, H. Smith, J. Griffin, S. Paolini, A. Sons, H. Kitamura, M. Natsugoe, S. Aikou, T. Kohno, Y. Yamazaki, S. Keighley, M. Download references. Reprints and Permissions.
Clinicopathologic features of gastric cancer infiltrating the lower esophagus. World J. Download citation. Issue Date : May Search SpringerLink Search. Abstract A total of patients with gastric cancer in the upper third of the stomach were clinicopathologically evaluated. References 1. Authors Kimiya Takeshita M. View author publications. You can also search for this author in PubMed Google Scholar. Rights and permissions Reprints and Permissions.
About this article Cite this article Takeshita, K.
Tratamiento del cáncer de esófago
Clinicopathologic features of gastric cancer infiltrating the lower esophagus
Esophagectomy and substitution of the thoracic esophagus in dogs 1. PURPOSE: To evaluate a technique to remove the thoracic esophagus without thoracotomy and two methods for thoracic esophageal replacement in dogs. METHODS: 27 ex-vivo dogs were divided into three groups in order to evaluate: G1 - total thoracic esophagectomy by the everting stripping method; G2 - total thoracic esophagectomy and esophageal substitution using the whole stomach; G3 - total thoracic esophagectomy and esophageal substitution using fundus rotation gastroplasty. However, this intrathoracic route made it possible to bring both esophagus substitutes G2 and G3 to be anastomosed to the cut end of the cervical esophagus. The ex-vivo results support further studies to validate the techniques in clinical cases.