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Published on: September 11, 2021
Single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy for esophageal
Zafer Dokumcu1, Emre Divarci1, Coskun Ozcan1
1Department of Pediatric Surgery, Ege University Faculty of Medicine, Izmir, Turkey.
Introduction:
We present a novel approach to single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy in a child with long-segment corrosive esophageal stricture (CES).
Materials And Surgical Technique:
A 2.5-year-old boy with a history of caustic ingestion underwent periodic esophageal dilatations at 3-week intervals, four sessions of topical mitomycin C application, and a strict antacid/H2 antagonist therapy for 8 months. The esophageal replacement was indicated because of persistent corrosive esophageal stricture. First, thoracoscopic native esophagus dissection was performed. After gastric mobilization with single-incision laparoscopy, esophagectomy and esophagogastric anastomosis were performed through the cervical incision. There was no complication, and the patient had gained weight by the end of the 12-month follow-up.
Discussion:
Single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy is feasible, safe, and effective in patients with corrosive esophageal stricture.
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