既往左肺切除术后经胸腹腔镜联合食管癌切除术：手术入路的挑战，一例报告
Transhiatal Esophagectomy after Previous Left Pneumonectomy: Challenge of Surgical Approach, a Case Report.
作者信息
Davoodabadi Abdoulhossein, Saba Mohammad Ali, Arj Abbas, Talari Hamidreza
机构信息
Department of Surgery, Kashan University of Medical Sciences (KAUMS), Kashan, Iran.
Department of Pulmonology, Kashan University of Medical Sciences (KAUMS), Kashan, Iran.
出版信息
Tanaffos. 2020 Nov;19(2):165-169.
UNLABELLED
The occurrence of esophageal cancer after previous pneumonectomy for primary lung cancer is rare. This is the second case report of transhiatal esophagectomy after previous pneumonectomy due to lung cancer. In this case, selection of surgical approach for esophagectomy, was technically challenging and anatomic deformity in post pneumonectomy space had potential risk of physiologic disturbance, especially after thoracotomy option in solitary lung with limited capacity.
CASE PRESENTATION
We herein report a 58 year old man with history of left pneumonectomy and lymph node dissection due to mucoepidermoid carcinoma 19 years ago and recently admitted for esophageal carcinoma. He successfully was managed via transhiatal approach.
CONCLUSION
Transhiatal esophagectomy in pneuminectomized patient is safe and recommended as first option.
未标注
既往因原发性肺癌行肺叶切除术后发生食管癌的情况罕见。这是第二例因肺癌既往肺叶切除术后行经裂孔食管切除术的病例报告。在该病例中，食管切除术手术入路的选择在技术上具有挑战性，肺叶切除术后胸腔内的解剖畸形存在生理紊乱的潜在风险，尤其是在单肺功能有限的情况下选择开胸手术时。
病例介绍
我们在此报告一名58岁男性，19年前因黏液表皮样癌行左肺叶切除术及淋巴结清扫术，近期因食管癌入院。他成功地通过经裂孔入路进行了治疗。
结论
肺叶切除术后患者行经裂孔食管切除术是安全的，推荐作为首选方案。
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