A case of delayed perforation of the gastric tube due to ESD in a post-operative esophageal cancer patient Shinnosuke HARATA 1 , Hidehiko KITAGAMI 1 , Keisuke NONOYAMA 1 , Shiro FUJIHATA 1 , Minoru YAMAMOTO 1 , Moritsugu TANAKA 1 1Department of Surgery, Kariya Toyota General Hospital Keyword: 食道癌 , 挙上胃管 , 穿孔 pp.352-357
Published Date 2019/7/15
DOI https://doi.org/10.11477/mf.4426200722
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 A 61-year-old man was admitted to our hospital because of an abnormality in medical examination and was diagnosed as esophageal cancer and gastric cancer. Endoscopic submucosal dissection (ESD) was performed for gastric cancer, seven days before esophagectomy. Thoracoscopic laparoscopic esophagectomy and reconstruction of small-diameter gastric tube in the posterior mediastinal canal was performed for the esophageal cancer. On the 6th postoperative day, chest cavity efflux increased, respiratory condition worsened and re-operation was performed. Observation under thoracoscopy revealed a perforation of 1 cm in the post-ESD part of the gastric tube. The perforation was closed under thoracoscope, a thoracic drain was inserted and the operation was completed. After the operation, respiratory failure and empyema were prolonged but the patient was discharged on the 42nd postoperative day. We experienced a rare case of delayed perforation after ESD in the gastric tube.

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