• Title/Summary/Keyword: Ivor-Lewis 수술

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Results of a Ivor-Lewis Operation for Esophageal Squamous Cell Carcinoma (식도 편평세포암에시 Ivor-Lewis수술 성적)

  • Cho, Seong-Ho;Kim, Jong-In;Cho, Sung-Rae
    • Journal of Chest Surgery
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    • v.40 no.12
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    • pp.843-850
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    • 2007
  • Background: The Ivor-Lewis operation has been widely applied for treating thoracic esophageal cancer, but more acceptable results from three-field lymph node dissection have recently been reported. In this study the efficacy of the Ivor-Lewis operation was evaluated. Material and Method: Among the 273 patients, who underwent operation for esophageal cancer between September 1994 and August 2004, we retrospectively studied 172 patients with esophageal squamous cell carcinoma and who had no other primary cancer and who underwent complete resection with an Ivor-Lewis operation. The postoperative complications, the short and long-term survival and the recurrence patterns were analyzed. Result: The postoperative staging was as follows: stage I in 40 cases, IIA in 48 cases, IIB in 18 cases, III in 55 cases, IVA in 5 cases and IVB in 6 cases. The operative mortality rate was 4% (7 of 172 pts). Postoperative complication occurred in 32 patients (18%) and tumor recurred in 55 patients (32%). The overall 5-year survival rate was 48%; it was 85.6% in stage I patients, 47.6% in IIA patients, 65% in IIB patients, 22.8% in III patients and 0% for those in IV (p<0.05). The 5-year survival rate according to the location of esophageal cancer was 26.5% for patients with tumor in the upper 1/3 of the esophagus and 52.4% for patients with tumor in the mid and lower 1/3 (p>0.05). Conclusion: The Ivor-Lewis operation is an acceptable surgical procedure for thoracic esophageal squamous cell carcinoma. Yet it is necessary to consider other surgical procedures, and especially three-field lymph node dissection for treating upper 1/3 esophageal cancer.

Experience with a Safe Anastomotic Method for Ivor Lewis Operation (Ivor Lewis 수술 후 발생되는 문합 부위 합병증을 예방하기 위한 술식 평가)

  • Kim, Jeong-Won;Lee, Yong-Jik;Chang, Yong-Jin;Park, Chang-Ryul;Jung, Jong-Pil
    • Journal of Chest Surgery
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    • v.41 no.5
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    • pp.625-629
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    • 2008
  • Background: When it comes to esophageal cancer operations, the prevalence of anastomotic complications that adversely affect quality of life is related to the type of anastomotic procedure and the operative site. We studied outcomes related to a safe anastomotic method used in Ivor Lewis esophagogastrectomy for preventing anastomotic leakage and stricture formation. Material and Method: Between May 2003 and April 2007, 18 patients with esophageal cancer underwent this type of esophagogastrectomy. Four people were lost to follow-up. There were 17 men (94.4%) and 1 woman. The mean patient age was 61 years (range, $46{\sim}73$ years). Result: The mean follow-up period was 17.2 months (range, $1{\sim}45$ months). There was no anastomotic leakage. There was one benign anastomotic stricture (5.6%) requiring esophageal balloon dilatation, which was accomplished with a 25 mm circular stapler. Conclusion: We experienced relatively good postoperative results using a safe anastomotic method in the Ivor lewis operation for preventing anastomotic complications. These results suggest that this anastomotic method is effective in reducing the incidence of benign anastomotic complications.

Surgery for the Anastomotic Site Recurrence Occurring after Ivor Lewis Operation - A Case Report - (Ivor Lewis 수술 후 식도-위 문합부 재발에 대한 수술 치험 : - 1례 보고 -)

  • Kim, Dae-Hyun;Choi, Cheon-Woong
    • Korean Journal of Bronchoesophagology
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    • v.13 no.2
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    • pp.82-84
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    • 2007
  • Treatment options for anastomotic recurrence occurring after Ivor Lewis operation are limited. Reoperation for resection can be technically challenging and several reports suggest a potential survival benefit from re-resection. Specific care must be taken to avoid compromise of the previously transposed conduit to not endanger its vascular supply and the recurrent nerves in either the chest or neck. We report our surgical experience of a case of esophagogastric anastomotic site recurrence occurring after Ivor Lewis operation with review of literatures.

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A Case of Gastrobronchial Fistula after Esophagectomy (식도 절제술 후 발생한 위기관지 누공 1예)

  • 김현태;손국희;김영삼;김정택;백완기;김광호;윤용한
    • Journal of Chest Surgery
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    • v.37 no.2
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    • pp.193-196
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    • 2004
  • Benign gastrobronchial fistula (GBF) after Ivor Lewis operation is a very rare and serious complication. We describe a patient with GBF who was successfully managed on the single-stage repair, 15 months after the Ivor Lewis operation. After the division of the GBF, the bronchial and gastric defects were closed directly. The omental flap and the pedicled 5th. intercostal muscle flap were interposed between the closed defects. The literature of this subject is reviewed and discussed.

Perforation of Intrathoracic Stomach after Ivor Lewis Operation for Esophageal Cancer - 2 cases report - (식도암 수술후 흉곽내 위 천공 -치험 2례-)

  • Lee, Young;Hwang, Eui-Doo;Hwang, Kyung-Hwan;Yoon, Su-Young;Na, Myung-Hoon;Yu, Jae-Hyun;Lim, Seung-Pyung
    • Journal of Chest Surgery
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    • v.31 no.9
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    • pp.911-914
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    • 1998
  • We report our experience with 2 cases of perforation of intrathoracic stomach after Ivor Lewis operation for esophageal cancer. There was no problem in the anastomotic site, but the drainage from pleural cavity increased after oral intake. The stomach perforation was proved by rethoracotomy. The perforation site was repaired by sutures with pedicled intercostal muscle.

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RVOTO Caused by Pulmonary Artery Sarcoma Originating from Pulmonary Valve -Two case report- (식도와 폐의 동시성 중복암 -2예 보고 -)

  • 김대현;이인호;윤효철;김수철;김범식;조규석;박주철
    • Journal of Chest Surgery
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    • v.37 no.2
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    • pp.184-187
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    • 2004
  • The synchronous double cancer of the esophagus and lung is rare. Right lower lobectomy and Ivor Lewis procedure were performed simultaneously in a 75 year-old male patient who had synchronous double primary squamous cell carcinoma of the thoracic esophagus and right lower lobe of the lung, Left upper lobectomy was performed in a 69 year-old male patient who had squamous cell carcinoma of the left upper lobe of the lung, and four months later we performed Ivor Lewis procedure for the squamous cell carcinoma that occurred in the thoracic esophagus. The above two patients were doing well 10 months and 24 months after the operation respectively without recurrence. We treated the two cases of synchronous double cancer of the esophagus and lung with complete resection, and report this with review of literature.

Surgical Treatment of Bronchoesophageal Fistula Caused by a Self-Expanding Esophageal Stent (부식성 식도협착 환자에서 식도스텐트 삽입 후 발생한 기관지 식도 누공의 수술적 치료)

  • 이재익;우종수;이길수;노미숙
    • Journal of Chest Surgery
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    • v.37 no.2
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    • pp.197-200
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    • 2004
  • Although the formation of fistula between esophagus and adjacent organ is a known complication of the self-expanding esophageal stent, only a few cases of surgically treated bronchoesophageal fistula have been reported. Increasing application of endoscopic stent for benign esophageal strictures increases the chance for this type of delayed complication. We experienced a case of bronchoesophageal fistula caused by esophageal stent for which we performed fistulectomy and Ivor Lewis operation simultaneously. To the best of our knowledge, this is the first report on the successful surgical treatment of this complication in Korea.

Gastro-Cavenous Fistula Developed after Esophagectomy(Ivor Lewis Operation) Due to Active Gastric Ulcer in Esophageal Cancer (식도암 환자에서 식도암적출술후 활동성 위궤양에 의해 발생한 위-공동 누공)

  • 김성철;심영목;김관민;김진국
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.49-52
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    • 1999
  • A 58-year-old male patient visited our hospital for epigastric discomfort and dysphagia which had developed 5 months earlier. He was diagnosed with esophageal cancer at the mid-thoracic level based on radiologic, endoscopic, and histologic examinations. An esophagectomy(Ivor Lewis technique) was done to treat the esophageal cancer. He was doing well until the 20th postoperative day when he began to complain of cough, sputum, fever and chills, Subsequently, thereafter, abdominal pain and generalized abdominal tenderness developed on the 22nd postoperative day. Upon gastrofiberscopy and esophagographic examinations, he was diagnosed with gastrobronchial fistula and an emergency operation was performed. On operative findings, the gastric fundus was perforated and directly connected to the abscessed cavity of the right upper lobe due to a gastric ulcer. We, herewith, report this case after review of the literature.

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Recurrent Gastrobronchial Fistula after Esophagectomy -one case report- (식도암 적출술후 발생한 재발성 위-기관지 누공)

  • 임수빈;조재일
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.189-193
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    • 2001
  • 위기관지 누공은 매우 드문 질환으로 대부분의 경우 외상, 상부위장관 수술, 횡경막하 농양, 양성 위궤양, 신생물 등 이 원인으로 생각된다. 식도암의 Ivor Lewis 수술후 2년과 3년에 양성 위궤양으로 인해 발생한 재발성 위기관지 누공 1예를 문헌고찰과 함께 보고하는 바이다.

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Surgical Treatment of Synchronous Double Cancer of the Lung and Esophagus - A case report- (폐와 식도에서 동시에 발견된 중복암의 수술적 치료 -1예 보고-)

  • 이재익;우종수;이길수;노미숙;박미경
    • Journal of Chest Surgery
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    • v.36 no.11
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    • pp.866-869
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    • 2003
  • Less than 2% of patients with primary esophageal cancers have synchronous primary lung cancers and many patients with these synchronous tumors are deemed ineligible for radical resection by surgeons due to the poor prognoses of both the diseases. However, we believe that carefully selected patients could benefit from one stage curative resection for these synchronous tumors. We experienced a case of synchronous double cancer of the lung and esophagus and performed bilobectomy and Ivor Lewis operation simultaneously. To the best of our knowledge, this is the first report on the good result of one stage curative resection for these synchronous serious tumors in Korea.