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Two cases of esophageal carcinoma with esophageal varices treated by video-assisted thoracoscopic esophagectomy following hand-assisted laparoscopic gastric conduit creation combined with devascularization and splenectomy Yoshihiro MORI 1 , Yoshito YAMASHITA 1 , Yutaka TAMAMORI 1 , Mami YOSHII 1 , Atsushi YAMAMOTO 1 , Yukio NISHIGUCHI 1 1Department of Gastroenterological Surgery, Osaka City General Hospital Keyword: 食道癌 , 食道胃静脈瘤 , 腹腔鏡 pp.109-116
Published Date 2017/1/15
DOI https://doi.org/10.11477/mf.4426200366
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 We report two cases of esophageal carcinoma with esophageal varices treated by video-assisted thoracoscopic esophagectomy following hand-assisted laparoscopic gastric conduit creation combined with devascularization and splenectomy. Surgical treatment of esophageal carcinoma with esophageal varices is technically difficult in patients with hepatic cirrhosis because of the risk of massive hemorrhage caused by hemorrhagic esophageal varices, as well as the subsequent thrombocytopenia and coagulopathy. The initial devascularization of the upper part of the stomach and the magnifying effect of laparoscopic surgery decreases bleeding, making this procedure useful in patients with hepatic cirrhosis.


Copyright © 2017, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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