Combined esophagogastric resection for cancer at esophagogastric junction and off pump CABG through left posterolateral thoracotomy

Mukherjee, P; Dasbaksi, Kallol; Hazra, Ramendra Narayan; Gangopadhyay, Srikanta; Mondal, Malay; Nayak, Sushil Kumar; Roy, Bijendra Nath

doi:10.1007/s12055-009-0025-9

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…13,14 However, if the internal mammary artery was not longer enough as a graft or cannot be easily harvested, the saphenous vein was acceptable. 11,12 The postoperative complications were acceptable for patients with simultaneous esophagectomy and CABG. In the literatures, all the patients recovered well except one patient suffered intrathoracic bleeding after operation (Table 3).…”

Section: Discussionmentioning

confidence: 97%

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Simultaneous esophagectomy and off-pump coronary artery bypass grafting: a practicable approach with good survival

Zhao

Han

Lei

et al. 2016

Diseases of the Esophagus

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Surgery continues to be the mainstay of esophageal cancer treatment. However, it is a big challenge for the surgical treatment of patients with both esophageal cancer and coronary artery disease (CAD). We reported, here, the first case series of esophageal cancer patients treated with simultaneous esophagectomy and off-pump coronary artery bypass grafting (CABG). From August 2010 to August 2012, 2154 esophageal or esophageal gastric junction (EGJ) cancer patients underwent surgical treatment in Tangdu Hospital, Xi'an, China. Among them, six patients with esophageal or EGJ esophageal gastric junction cancer complicated with CAD were given simultaneous esophagectomy and off-pump CABG, and were followed up until August 2014. Four patients were operated through left lateral thoracotomy and two patients were operated through median sternotomy plus upper midline laparotomy. All the patients survived the operation well and the postoperative morbidity rate was 67% (one anastomosis leakage, three cardiac arrhythmias). There was no postoperative mortality. The mean follow-up time was 34.5 ± 7.8 months (range, 24-46 months). One patient died 36 months later due to tumor recurrence and all the other patients survived until the time to follow up. Simultaneous esophagectomy and off-pump CABG approach might be a safe and effective procedure with good survival in selected patients with both esophageal cancer and CAD.

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Section: Discussionmentioning

confidence: 97%

“…[4][5][6][7][8][9] Several cases of simultaneous esophagectomy and offpump CABG were reported in selected patients. [10][11][12][13][14] However, the long-term follow up were deficient. Herein, we reported a multipatient case series of simultaneous esophagectomy and off-pump CABG with relatively longer follow up.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous esophagectomy and off-pump coronary artery bypass grafting: a practicable approach with good survival

Zhao

Han

Lei

et al. 2016

Diseases of the Esophagus

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Feasibility and efficacy of simultaneous off-pump coronary artery bypass grafting and esophagectomy in elderly patients

Liu

Wang

et al. 2017

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IntroductionTo analyze the outcomes of off-pump coronary artery bypass grafting (OPCABG) and esophagectomy simultaneously for patients with coronary artery disease (CAD) and coexisting esophageal cancer.MethodsTwenty-two patients with CAD and coexisting esophageal cancer underwent combined surgical interventions were subjected to the study. OPCABG was performed first, followed by esophagectomy. All the corresponding data including clinicopathological characteristics and postoperative outcomes were all investigated.ResultsAll the combined procedures were performed successfully. The average number of grafts was 2.36. Tumors were located at the middle third of the esophagus in 5 patients, at the lower third of the esophagus in 8 patients, at the esophageal gastric junction (EGJ) in 9 patients, respectively. The operations were carried out through a left lateral thoracotomy approach in 21 patients while a median sternotomy and left lateral thoracotomy approach was used in 1 patient for his condition rapidly worsened. Postoperatively, pneumonia occurred in 4 patients (18.2%). During the follow-up, three patients died of cancer metastasis /recurrence (6, 18, 37 months) and one died of pneumonia (1 month). The cumulative 5 years survival rate is 52.9%.ConclusionsThe combined procedure of OPCABG and esophagectomy is a safe and effective treatment option for patients with severe CAD and esophageal cancer.

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Combined esophagogastric resection for cancer at esophagogastric junction and off pump CABG through left posterolateral thoracotomy

Cited by 2 publications

References 4 publications

Simultaneous esophagectomy and off-pump coronary artery bypass grafting: a practicable approach with good survival

Simultaneous esophagectomy and off-pump coronary artery bypass grafting: a practicable approach with good survival

Feasibility and efficacy of simultaneous off-pump coronary artery bypass grafting and esophagectomy in elderly patients

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