title: Minimally invasive resection of synchronous thoracic esophageal and gastric carcinomas followed by reconstruction: a case report.
abstract: We report on a case of synchronous carcinomas of the esophagus and stomach. A 68-year-old man was referred to our hospital for an abnormality found during his medical examination. Further evaluation revealed squamous cell carcinoma in the thoracic lower esophagus and gastric adenocarcinoma located in the middle third of the stomach. Thoracoscopic esophagectomy in the prone position (TSEP), laparoscopic total gastrectomy (LTG) with three-field lymph node dissection, and laparoscopically assisted colon reconstruction (LACR) were performed. The patient did not have any major postoperative complications. His pathological examination revealed no metastases in 56 harvested lymph nodes and no residual tumor. He was followed up for 30 months without recurrence. To our knowledge, this is the first report of esophageal and gastric synchronous carcinomas that were successfully treated with a combination of TSEP, LTG, and LACR. These operations may be a feasible and appropriate treatment for this disease.
authors.affiliation: Department of Gastrointestinal Oncology, Gastric Surgery Division, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-0882, Kashiwa, Chiba, Japan. m_honda@higashiomiya.or.jp.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Honda
authors.affiliation: Department of Gastrointestinal Oncology, Esophageal Surgery Division, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-0822, Kashiwa, Chiba, Japan. hdaikou@east.ncc.go.jp.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Daiko
authors.affiliation: Department of Gastrointestinal Oncology, Gastric Surgery Division, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-0882, Kashiwa, Chiba, Japan. takkinos@east.ncc.go.jp.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Kinoshita
authors.affiliation: Department of Gastrointestinal Oncology, Esophageal Surgery Division, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-0822, Kashiwa, Chiba, Japan. takfujit@east.ncc.go.jp.
authors.forename: Takeo
authors.initials: T
authors.lastname: Fujita
authors.affiliation: Department of Gastrointestinal Oncology, Gastric Surgery Division, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-0882, Kashiwa, Chiba, Japan. hshibasa@east.ncc.go.jp.
authors.forename: Hidehito
authors.initials: H
authors.lastname: Shibasaki
authors.affiliation: Department of Gastrointestinal Oncology, Gastric Surgery Division, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-0882, Kashiwa, Chiba, Japan. tnishida@east.ncc.go.jp.
authors.forename: Toshiro
authors.initials: T
authors.lastname: Nishida
keywords: LTG; Laparoscopy-assisted colonic reconstruction; Minimally invasive surgery; Synchronous carcinomas; TSEP