Single-incision laparoscopy-assisted gastric transpositioncombined with thoracoscopic esophagectomy for esophagealreplacement


Dokumcu Z. , Divarcı E. , Özcan C. , Erdener H. A.

Asian Journal of Endoscopic Surgery, cilt.12, ss.366-371, 2018 (ESCI İndekslerine Giren Dergi)

  • Cilt numarası: 12 Konu: 3
  • Basım Tarihi: 2018
  • Dergi Adı: Asian Journal of Endoscopic Surgery
  • Sayfa Sayıları: ss.366-371

Özet

We present a novel approach to single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy in a child with long-segment corrosive esophageal stricture (CES).

MATERIALS AND SURGICAL TECHNIQUE:

A 2.5-year-old boy with a history of caustic ingestion underwent periodic esophageal dilatations at 3-week intervals, four sessions of topical mitomycin C application, and a strict antacid/H2 antagonist therapy for 8 months. The esophageal replacement was indicated because of persistent corrosive esophageal stricture. First, thoracoscopic native esophagus dissection was performed. After gastric mobilization with single-incision laparoscopy, esophagectomy and esophagogastric anastomosis were performed through the cervical incision. There was no complication, and the patient had gained weight by the end of the 12-month follow-up.

DISCUSSION:

Single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy is feasible, safe, and effective in patients with corrosive esophageal stricture.