caa a22 4500 606204393 CHVBK 20210128101002.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s10388-014-0448-2 doi (NATIONALLICENCE)springer-10.1007/s10388-014-0448-2 Successful salvage lymphadenectomy after stent grafting for aortic lymph node recurrence of thoracic esophageal carcinoma: a first case report [Elektronische Daten] [Tomotaka Shibata, Tsuyoshi Noguchi, Tsuyoshi Etoh, Masafumi Inomata, Norio Shiraishi, Tetsuo Hongo, Jun Hirota, Shinji Miyamoto, Seigo Kitano] In advanced esophageal carcinoma, aortic complications can be fatal. Here, we report our experience with a patient undergoing salvage lymphadenectomy after preoperative aortic stent grafting for paraaortic lymph node recurrence for esophageal carcinoma. The patient was a 54-year-old man, who underwent subtotal esophagectomy for thoracic esophageal carcinoma. Computed tomography performed 12months after the initial surgery revealed lymphadenopathy on the left side of the thoracic aorta and radiotherapy was performed for lymph node recurrence. FDG-PET performed after radiotherapy revealed slight growth of the lymph node involvement and an accumulation of FDG. We decided to insert a stent graft into the aorta at the site of tumor invasion before surgery to ensure safety. The tumor was sharply dissected and excised with Cooper's scissors after the aorta had been taped at the levels upstream and downstream from the tumor. After surgery, chylothorax was observed, but resolved with conservative treatment. The patient was discharged 30days after surgery. The Japan Esophageal Society and Springer Japan, 2014 Esophageal cancer nationallicence Salvage surgery nationallicence Stent nationallicence Shibata Tomotaka Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, Idaigaoka 1-1, Hasama-machi, 879-5593, Yufu, Oita, Japan aut Noguchi Tsuyoshi Center for Community Medicine, Faculty of Medicine, Oita University, Oita, Japan aut Etoh Tsuyoshi Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, Idaigaoka 1-1, Hasama-machi, 879-5593, Yufu, Oita, Japan aut Inomata Masafumi Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, Idaigaoka 1-1, Hasama-machi, 879-5593, Yufu, Oita, Japan aut Shiraishi Norio Center for Community Medicine, Faculty of Medicine, Oita University, Oita, Japan aut Hongo Tetsuo Department of Radiology, Faculty of Medicine, Oita University, Oita, Japan aut Hirota Jun Department of Cardiovasculer Surgery, Faculty of Medicine, Oita University, Oita, Japan aut Miyamoto Shinji Department of Cardiovasculer Surgery, Faculty of Medicine, Oita University, Oita, Japan aut Kitano Seigo Oita University, Oita, Japan aut Esophagus Springer Japan 12/3(2015-07-01), 312-315 1612-9059 12:3<312 2015 12 10388 https://doi.org/10.1007/s10388-014-0448-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10388-014-0448-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shibata Tomotaka Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, Idaigaoka 1-1, Hasama-machi, 879-5593, Yufu, Oita, Japan aut NATIONALLICENCE 700 1- Noguchi Tsuyoshi Center for Community Medicine, Faculty of Medicine, Oita University, Oita, Japan aut NATIONALLICENCE 700 1- Etoh Tsuyoshi Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, Idaigaoka 1-1, Hasama-machi, 879-5593, Yufu, Oita, Japan aut NATIONALLICENCE 700 1- Inomata Masafumi Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, Idaigaoka 1-1, Hasama-machi, 879-5593, Yufu, Oita, Japan aut NATIONALLICENCE 700 1- Shiraishi Norio Center for Community Medicine, Faculty of Medicine, Oita University, Oita, Japan aut NATIONALLICENCE 700 1- Hongo Tetsuo Department of Radiology, Faculty of Medicine, Oita University, Oita, Japan aut NATIONALLICENCE 700 1- Hirota Jun Department of Cardiovasculer Surgery, Faculty of Medicine, Oita University, Oita, Japan aut NATIONALLICENCE 700 1- Miyamoto Shinji Department of Cardiovasculer Surgery, Faculty of Medicine, Oita University, Oita, Japan aut NATIONALLICENCE 700 1- Kitano Seigo Oita University, Oita, Japan aut NATIONALLICENCE 773 0- Esophagus Springer Japan 12/3(2015-07-01), 312-315 1612-9059 12:3<312 2015 12 10388