Affiliation:
1. Linkou Chang Gung Memorial Hospital
Abstract
Abstract
Background
Anastomotic recurrence following esophagectomy is a rare occurrence. While complete resection yields better long-term outcomes, surgical management in this scenario poses challenges due to the impact of prior surgery and the fragile condition of patients. Here, we present an alternative surgical approach and reconstruction method to address this challenging scenario.
Case presentation:
Our patient, a 60-year-old man, developed anastomotic recurrence after neoadjuvant chemoradiotherapy and esophagectomy with gastric tube reconstruction via the retrosternal route. To tackle this issue, we employed an innovative surgical technique involving esophagogastrectomy via hemisternotomy, reconstruction using a deltopectoral fasciocutaneous local flap, and the establishment of a feeding jejunostomy. There were no major complications post-procedure, and the patient achieved good cancer control.
Conclusions
This approach not only offers significant technical advantages but also provides nutritional benefits. By adopting this novel approach, there is potential to enhance the current management of recurrent anastomotic esophageal cancer post-esophagectomy.
Publisher
Research Square Platform LLC