[A successful usage of latissimus dorsi muscle flap in the surgery of synchronous gastric and pulmonary double cancer in an elderly patient--a case report].
A 77-year-old man, with both an advanced gastric cancer Borrman IV type (CME) S2N1P0 M0 stage II and lung cancer of left upper lobe pT3N1M0 stage IIIA, simultaneously received total gastrectomy with R2 lymph node dissection, and Roux-Y reconstruction, and left upper lobectomy with R2 lymph node dissection combined with partial pericardiectomy. A latissimus dorsi muscle flap with thoracodorsal artery and vein was used for covering the intrathoracic esophagojejunostomy, repairing of the pericardial defect and separating the thoracic cavity from the abdominal cavity. Postoperative esophagograms showed a leakage, which was localized by the muscle flap coverage without extensive spread. The leakage healed spontaneously after a left sub-diaphragmatic drainage. Our experience described here indicates that a latissimus dorsi muscle flap coverage is a useful operative method for double cancers of the lung and stomach requiring intrathoracic procedures.
Shimada
J
J
Second Department of Surgery, Kyoto Prefectural University of Medicine, Japan.
Nishiyama
K
K
Satoh
S
S
Wada
Y
Y
Yamagishi
H
H
Oka
T
T
D000368:Aged; D000713:Anastomosis, Roux-en-Y; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005743:Gastrectomy; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008197:Lymph Node Excision; D008297:Male; D009132:Muscles / Q000637:transplantation*; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D011013:Pneumonectomy; D013274:Stomach Neoplasms / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*