[Synchronous Double Cancer of Left Lung and Esophagus Which Was Performed Simultaneous Resection]

Area of Science:

• Thoracic Surgery
• Surgical Oncology
• Gastrointestinal Oncology

Background:

• Synchronous double cancers of the lung and esophagus present complex treatment challenges.
• A two-stage surgical approach is often preferred due to technical complexity and invasiveness.

Purpose of the Study:

• To report a case of synchronous double cancer treated with a minimally invasive, one-stage procedure.
• To evaluate the feasibility and outcomes of combining thoracoscopic lobectomy and mediastinoscopic esophagectomy.
• To highlight challenges and potential improvements in managing complex synchronous thoracic malignancies.

Main Methods:

• A minimally invasive one-stage surgical procedure combining thoracoscopic left lung lobectomy and mediastinoscopic esophagectomy was performed.
• Postoperative management included conservative treatment for anastomotic leakage.

Main Results:

• The one-stage surgery was technically feasible for advanced synchronous lung and esophageal cancers.
• Postoperative complications included anastomotic leakage and early recurrence of esophageal cancer.
• Metachronous brain metastases from small cell lung carcinoma developed.

Conclusions:

• A less invasive simultaneous surgical approach is feasible for synchronous thoracic malignancies.
• Optimizing mediastinal lymph node dissection and the timing of adjuvant therapy are critical.
• This case underscores the need for tailored treatment strategies in complex oncologic cases.