Transhiatal Esophagectomy after Previous Left Pneumonectomy: Challenge of Surgical Approach, a Case Report

Authors

1 Department of Surgery, Kashan University of Medical Sciences (KAUMS), Kashan, Iran,

2 Department of Pulmonology, Kashan University of Medical Sciences (KAUMS), Kashan, Iran,

3 Department of Gastroenterology, Kashan University of Medical Sciences (KAUMS), Kashan, Iran,

4 Department of Radiology, Kashan University of Medical Sciences (KAUMS), Kashan, Iran.

Abstract

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.

Keywords

TANAFFOS (Respiration)
Volume 19, Issue 2
April 2020
Pages 165-169

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