title: Minimally invasive surgery for esophageal cancer after esophageal perforation.
abstract: Both esophageal rupture and esophageal cancer are life-threatening diseases. We report a case of esophageal cancer that occurred after esophageal rupture was treated with thoracoscopic and laparoscopic surgery. A 76-year-old man presented with vomiting followed by epigastric pain and was diagnosed with spontaneous esophageal rupture. Laparoscopic and thoracoscopic surgery were performed. Primary closure was completed with a fundic patch, and thoracic lavage was performed. Ten months later, his condition was diagnosed as squamous cell carcinoma of the abdominal esophagus. He underwent thoracoscopic esophageal resection in the prone position, and a gastric conduit was created laparoscopically. The pathological finding was superficial esophageal carcinoma without lymph node metastasis. The patient's postoperative course was uneventful, and there was no recurrence at 21 months of follow-up.
authors.affiliation: Department of Surgery, Obihiro Kosei General Hospital, Obihiro, Japan.
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Murakawa
authors.affiliation: Department of Surgery, Obihiro Kosei General Hospital, Obihiro, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Ono
authors.affiliation: Department of Surgery, Obihiro Kosei General Hospital, Obihiro, Japan.
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Yamamura
authors.affiliation: Department of Surgery, Obihiro Kosei General Hospital, Obihiro, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Niwa
authors.affiliation: Department of Surgery, Obihiro Kosei General Hospital, Obihiro, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yamamoto
authors.affiliation: Department of Surgery, Obihiro Kosei General Hospital, Obihiro, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Muto
authors.affiliation: Department of Surgery, Obihiro Kosei General Hospital, Obihiro, Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Kato
authors.affiliation: Department of Surgery, Obihiro Kosei General Hospital, Obihiro, Japan.
authors.forename: Masaomi
authors.initials: M
authors.lastname: Ichinokawa
authors.affiliation: Department of Surgery, Obihiro Kosei General Hospital, Obihiro, Japan.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Yoshioka
authors.affiliation: Department of Surgery, Obihiro Kosei General Hospital, Obihiro, Japan.
authors.forename: Setsuyuki
authors.initials: S
authors.lastname: Ohtake
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D013906:Thoracoscopy
keywords: Esophageal cancer; esophageal perforation; minimally invasive surgery