Wiroon Boonnuch, Thawatchai Akaraviputh, Minimally Invasive Surgery Center, Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand.
World J Gastrointest Surg. 2011 Jun 27;3(6):82-5. doi: 10.4240/wjgs.v3.i6.82.
A 59-year-old man with metastatic an esophageal tumor from hepatocellular carcinoma (HCC) presented with progressive dysphagia. He had undergone liver transplantation for HCC three and a half years prevously. At presentation, his radiological and endoscopic examinations suggested a submucosal tumor in the lower esophagus, causing a luminal stricture. We performed complete resection of the esophageal metastases and esophagogastrostomy reconstruction using the da Vinci robotic system. Recovery was uneventful and he was been doing well 2 mo after surgery. α-fetoprotein level decreased from 510 ng/mL to 30 ng/mL postoperatively. During the follow-up period, he developed a recurrent esophageal stricture at the anastomosis site and this was successfully treated by endoscopic esophageal dilatation.
一位 59 岁男性，患有转移性食管肿瘤，源自肝细胞癌（HCC），出现进行性吞咽困难。他在三年半前因 HCC 接受了肝移植。就诊时，他的影像学和内镜检查提示下段食管黏膜下肿瘤，导致管腔狭窄。我们使用达芬奇机器人系统行食管转移灶完全切除术和食管胃吻合术重建。术后恢复顺利，术后 2 个月情况良好。甲胎蛋白水平从 510ng/ml 降至术后 30ng/ml。随访期间，他在吻合口处出现复发性食管狭窄，经内镜食管扩张治疗成功。
