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KMID : 0364019920250101087
Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 10 p.1087 ~ p.1092
Surgical Resection of Double Primary Cancer in Esophagus & Stomach
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Abstract
We underwent two surgical resection of synchronous primary esophageal squamous cell carcinoma and gastric adenocarcinoma after obtaining histologic comfirmation. 74-years old male patient was received esophagectomy & total gastrectomy with
esophagojejunostomy and 59-years old man was received near total esophagectomy and total gastrectomy with esophagocologejunostomy. Their was no postoperative complications. The hospital day was 15 and 21 days postoperatively.
All of them started oral intake at 7 days postoperatively and possible soft diet soon. We conclude that total resection of esophagus and stomach is the recommendable methods for prolong the life of double primary cancer patients of esophagus and
stomach. Also, the reconstruction of the esophagus with colon or jejunal transposition is one of the recommenable procedure for curative surgical resection of double primary cancer in esophagus and stomach.
And we also wish to emphasize the importance of detailed preopertive gastric examination for detect of gastric lesion and of careful intraoperative inspection of the gastric mucosa in patients with esophageal cancer whose preoperative gastric
examination provide inconclusive evidence due to the severe esophageal stenosis.
KEYWORD
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