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CASE REPORT article

Front. Oncol.
Sec. Gastrointestinal Cancers: Gastric and Esophageal Cancers
Volume 14 - 2024 | doi: 10.3389/fonc.2024.1403192

A Case Report of Colon Interposition Radical Surgery Performed via Unilateral Thoracotomy in a Patient with Esophageal Cancer after Billroth II Gastrectomy

Provisionally accepted
Chun-Guang Wang Chun-Guang Wang 1Guang-Xin Zhang Guang-Xin Zhang 1Yan Zhang Yan Zhang 1Hang Guo Hang Guo 1Guang-Lei Zhang Guang-Lei Zhang 1Zhen-Hua Kang Zhen-Hua Kang 2*
  • 1 Second Affiliated Hospital of Jilin University, Changchun, Jilin Province, China
  • 2 First Affiliated Hospital of Jilin University, Changchun, China

The final, formatted version of the article will be published soon.

    Introduction: When a gastric tube cannot be used as a substitute for the esophagus, the colon offers several advantageous features for esophageal replacement. However, this procedure remains complex and necessitates patients to have a favorable nutritional status. In this study, we investigated the viability of intrathoracic colonic interposition anastomosis through a single thoracic incision, with the goal of mitigating surgical challenges and nutritional requirements. Case description: We conducted a colectomy and reconstructed the esophageal-colonic-gastric tract via the esophcageal bed into the left thoracic cavity for a 68-year-old male patient with compromised nutritional status following 30 years post-Billroth II (BII) gastrectomy. Under normal circumstances, this patient would not have been deemed an appropriate candidate for a conventional colonic interposition procedure. The patient resumed a soft diet through the normal digestive tract two weeks after the surgery and was discharged 20 days later. Conclusion: Patients who have previously received a Billroth II Gastrectomy and subsequently developed early-stage esophageal cancer, characterized by the absence of lymph node metastasis, are suitable candidates for Colon Interposition Radical Surgery via left thoracotomy.

    Keywords: BII gastrectomy, Colonic interposition, esophageal cancer, Thoracotomy, case report

    Received: 19 Mar 2024; Accepted: 02 Sep 2024.

    Copyright: © 2024 Wang, Zhang, Zhang, Guo, Zhang and Kang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Zhen-Hua Kang, First Affiliated Hospital of Jilin University, Changchun, China

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