title: [Modified (Wu's) esophagectomy for a huge thoracic esophageal squamous cell carcinoma 18.3 cm in length].
abstract: An esophageal squamous cell carcinoma measuring 18.3 cm in length and 5 cm in diameter was found in the mediastinum of a 53-year man. The patient underwent a modified 3-stage esophagectomy and an esophagogastrostomy at the cervical level (Wu's method). The operation was performed smoothly and the patient recovered uneventfully after the operation. The patient was followed up for 6 months after discharge and reported no difficulties in eating with improved quality of life. This case represents the world's longest esophageal cancer that had been surgically removed. Local advanced esophageal cancer should be removed immediately to prevent potential occurrence of esophageal obstruction, tracheoesophageal fistula or aorto-esophageal fistula.
authors.affiliation: Department of Cardiothoracic Surgery of Huiqiao Medical Center, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.E-mail:wuxu_southhospital@163.com.
authors.forename: Xu
authors.initials: X
authors.lastname: Wu
authors.forename: Zhen-Zhong
authors.initials: ZZ
authors.lastname: Zhang
authors.forename: Nan-Bo
authors.initials: NB
authors.lastname: Liu
authors.forename: Jun-Hua
authors.initials: JH
authors.lastname: Zhang
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D004937:Esophageal Fistula; D004938:Esophageal Neoplasms / Q000601:surgery*; D000077277:Esophageal Squamous Cell Carcinoma; D004940:Esophageal Stenosis; D016629:Esophagectomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life