Abstract
We conducted a dividing radical operation to a case of superficial esofsageal carcinoma with a mucinous cystic tumor of the pancreas. A 71-year-old man was seen at the hospital because of chest pain and was diagnosed as esophagueal squamous cell carcinoma, Im, sm, 0-IIc, and mucinous cyctic tumor of the pancreas body. At the first operation, we did lymph node dissection of the neck and dorsal pancreatectomy, the dispersed fibrine glue over abluption area of the pancreas, and worpped the greater curvature of the stomach with gelatin film, for preventing adhesion. At the second operation, we find no adhesion in the fibrine glue dispersed area, but severe adhesion at the gerater curvature of stomach where gelatin film was came off was observed. We could not use the gastric tube for esophageal reconstruction, but used the right hemicolon. Pathologically, the esophageal tumor was modelately differentiated squamouscell carcinoma, sm2, e(-), ly1, v0, n(-), and the pancreas tumor was adenoma. After the operation, stenosis at the anastomosis of esophago-jejenum occured which was managed by baloon dilatation using endoscopy. The fibrine glue was effective for preventing adhesion, and the gelatin film has a problem how to fixate at the intra-abdominal area where the intestine is moving.
