日本医科大学医学会雑誌
Online ISSN : 1880-2877
Print ISSN : 1349-8975
ISSN-L : 1349-8975
症例報告
Siewert type II食道胃接合部腺癌に対し胸腔鏡下食道切除術を施行した1例
高尾 嘉宗松谷 毅野村 務萩原 信敏松田 明久丸山 弘吉田 寛片山 博徳丹野 正隆内田 英二
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2013 年 9 巻 3 号 p. 160-163

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A 73-year-old woman was admitted to the hospital because of dysphagia. Esophgoscopy showed type 3 tumor at the lower thoracic esophagus and esophagogastric junction. Endoscopic biopsy confirmed Siewert type II adenocarcinoma of esophagogastric junction. Abdominal and chest CT examination revealed no lymph node and distant metastases. Clinical stage was II (T3, N0, M0). The patient underwent a thoracosopic subtotal esophagectomy in the prone position, and a laparoscopy assisted reconstruction of gastric tube in the supine position. Pathological diagnosis was well differentiated adenocarcionma (pT3, pN0, sM0, ly3, v1, fStage II). Postoperative course was uneventful. We attempted thoracosopic esophagectomy in the prone position to treat Siewert type II adenocarcinoma of esophagogastric junction.
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© 2013 日本医科大学医学会
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