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CASE REPORT article
Front. Oncol.
Sec. Surgical Oncology
Volume 15 - 2025 | doi: 10.3389/fonc.2025.1513844
Case report: Intraoperative endoscopic treatment for the “pseudo” lumen formation of jejuno-esophageal anastomosis in laparoscopic total gastrectomy
Provisionally accepted- Cancer Hospital, Chongqing University, Chongqing, China
Recently, the incidence of adenocarcinoma of esophagogastric junction (AEG) is increasing in China. Laparoscopic total gastrectomy plus D2 lymph node dissection is an important treatment method for AEG of Siewert type II. In order to achieve the esophagojejunostomy, surgical techniques, no matter in open surgery or in laparoscopic one, are highly demanding. This report describes a case of surgical complication during laparoscopic total gastrectomy, in which a pseudoaneurysm developed at the gastroesophageal junction during anastomosis. The condition was successfully managed with endoscopic mucosal incision and placement of a self-expanding covered metal stent (SEMs) as a salvage intervention. The purpose of this report is to share an clinical treatment experience of similar cases, and at the same time to warn surgeon to perform esophagojejunostomy carefully.
Keywords: Laparoscopy, Adenocarcinoma of esophagogastric junction (AEG), Anastomosis, complications, Self-expanding covered metal stent
Received: 25 Oct 2024; Accepted: 31 Mar 2025.
Copyright: © 2025 Chen, Gao, Shang, Huang and Zhang. 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:
Shouru Zhang, Cancer Hospital, Chongqing University, Chongqing, China
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