Single-incision laparoscopy-assisted gastric transpositioncombined with thoracoscopic esophagectomy for esophagealreplacement
Makaleler > Teknik Not · 2018
Yazarlar: Ülküm Zafer DÖKÜMCÜ, Emre DİVARCI, Coşkun ÖZCAN, Hakkı Ata Erdener
Asian Journal of Endoscopic Surgery, AHCI İndekslerine Giren Dergi, Uluslararası, 2018, cilt 12, ss 366-371
Özet
<p style="margin-bottom: 0.5em; font-size: 1.04em; font-family: arial, helvetica, clean, sans-serif;">We present a novel approach to single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy in a child with long-segment corrosive esophageal stricture (CES).</p><h4 style="font-size: 13px; margin: 0px 0.25em 0px 0px; color: rgb(0, 0, 0); font-weight: bold; text-transform: uppercase; float: left; font-family: arial, helvetica, clean, sans-serif;">MATERIALS AND SURGICAL TECHNIQUE:</h4><p style="margin-bottom: 0.5em; font-size: 1.04em; font-family: arial, helvetica, clean, sans-serif;">A 2.5-year-old boy with a history of caustic ingestion underwent periodic esophageal dilatations at 3-week intervals, four sessions of topical mitomycin C application, and a strict antacid/H<span style="font-size: 0.8461em; line-height: 1.6363em; position: relative; vertical-align: baseline; bottom: -0.25em; top: 0.25em;">2</span> antagonist therapy for 8 months. The esophageal replacement was indicated because of persistent corrosive esophageal stricture. First, thoracoscopic native esophagus dissection was performed. After gastric mobilization with single-incision laparoscopy, esophagectomy and esophagogastric anastomosis were performed through the cervical incision. There was no complication, and the patient had gained weight by the end of the 12-month follow-up.</p><h4 style="font-size: 13px; margin: 0px 0.25em 0px 0px; color: rgb(0, 0, 0); font-weight: bold; text-transform: uppercase; float: left; font-family: arial, helvetica, clean, sans-serif;">DISCUSSION:</h4><p style="margin-bottom: 0.5em; font-size: 1.04em; font-family: arial, helvetica, clean, sans-serif;">Single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy is feasible, safe, and effective in patients with corrosive esophageal stricture.</p>