A Case of Recurrent Esophageal Carcinoma in the Remnant Esophagus which was Resected Six Years after the Operation for Thoracic Esophageal Carcinoma

Masayuki Nakamura, Takuo Murakami, Akira Tangoku, Hiroto Hayashi, Hiroyuki Uchisako, Hiroshi Kusanagi, Takashi Suzuki

Second Department of Surgery, Yamaguchi University School of Medicine

A case which suspected of being recurrent carcinoma of the remnant esophagus six years and three months after a radical operation for thoracic esophageal carcinoma is presented. A 52-year-old man was treated by subtotal esophagectomy and esophago-gastrostomy by the antethoracic route. His follow-up course had been uneventful. Six years and three months after the operation he experienced dysphagia and visited a hospital, where stenosis of the anastomotic region was detected by a upper gastrointestinal series and gastrofiberscopy. He was admitted to our hospital for further examination. Carcinoma of the remnant esophagus was suspected from the histological findings of the resected specimen from the first operation. There were no signs of metastasis. Cervicaleso-phagectomy, partial resection of the gastric tube, and bilateral neck dissections were performed. Free jejunal transplantation by the microvascular technique was used for the reconstruction. He is getting along well without any recurrence four years after the second operation.

Key words
carcinoma of the remnant esophagus, free jejunal transplantation with microvascular technique

Reprint requests
Masayuki Nakamura Second Department of Surgery, Yamaguchi University School of Medicine
1144 Kogushi, Ube-shi, 755 JAPAN

Accepted
December 10, 1991

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