Login / Signup

Novel reconstruction using pedicled ileocolic interposition with intrathoracic esophago-ileal anastomosis after distal esophagectomy for esophagogastric junction cancer: A report of two cases.

Hisashi FujiwaraHaruki ShigeoTaichi OgoKenro KawadaKazuya YamaguchiMasayoshi SakanoOkuno KeisukeYuya SatoToshiro TaniokaMasanori TokunagaYusuke Kinugasa
Published in: Asian journal of endoscopic surgery (2024)
There is no optimal reconstruction after radical distal esophagectomy for cancers of the esophagogastric junction. We designed a novel reconstruction technique using pedicled ileocolic interposition with intrathoracic anastomosis between the esophagus and the elevated ileum. Two patients underwent the surgery. Case 1 was a 70-year-old man with esophagogastric junction adenocarcinoma with 3 cm of esophageal invasion. Case 2 was a 70-year-old man with squamous cell carcinoma of the esophagogastric junction; the epicenter of which was located just at the junction. These two patients underwent radical distal esophagectomy and pedicled ileocolic interposition with intrathoracic anastomosis. They were discharged on postoperative days 17 and 14, respectively, with no major complication. Pedicled ileocolic interposition is characterized by sufficient elevation and perfusion of the ileum, which is fed by the ileocolic artery and vein. As a result, we can generally adapt this reconstruction method to most curable esophagogastric junction cancers.
Keyphrases
  • squamous cell carcinoma
  • minimally invasive
  • ejection fraction
  • newly diagnosed
  • prognostic factors
  • robot assisted
  • locally advanced
  • patient reported outcomes
  • radiation therapy
  • cell migration