title: Successful treatment of esophageal metastasis from hepatocellular carcinoma using the da Vinci robotic surgical system.
abstract: A 59-year-old man with metastatic an esophageal tumor from hepatocellular carcinoma (HCC) presented with progressive dysphagia. He had undergone liver transplantation for HCC three and a half years prevously. At presentation, his radiological and endoscopic examinations suggested a submucosal tumor in the lower esophagus, causing a luminal stricture. We performed complete resection of the esophageal metastases and esophagogastrostomy reconstruction using the da Vinci robotic system. Recovery was uneventful and he was been doing well 2 mo after surgery. α-fetoprotein level decreased from 510 ng/mL to 30 ng/mL postoperatively. During the follow-up period, he developed a recurrent esophageal stricture at the anastomosis site and this was successfully treated by endoscopic esophageal dilatation.
authors.affiliation: Wiroon Boonnuch, Thawatchai Akaraviputh, Minimally Invasive Surgery Center, Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand.
authors.forename: Wiroon
authors.initials: W
authors.lastname: Boonnuch
authors.forename: Thawatchai
authors.initials: T
authors.lastname: Akaraviputh
authors.forename: Carnivale
authors.initials: C
authors.lastname: Nino
authors.forename: Anusak
authors.initials: A
authors.lastname: Yiengpruksawan
authors.forename: Arthur Andrew
authors.initials: AA
authors.lastname: Christiano