Primera esofagectomía Ivor-Lewis con total mínima invasión y toracoscopía uniportal en Costa Rica. Reporte de caso.
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| Auteurs: | , |
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| Format: | artículo original |
| Statut: | Versión publicada |
| Date de publication: | 2023 |
| Description: | A 70-year-old healthy man was referred to our Thoracic Surgery Service at Dr. Rafael Angel Calderón Guardia Hospital (CCSS), with diagnosis of esophageal adenocarcinoma, Siewert 1, cT3N0M0. The patient underwent neo-adjuvant chemo-radiation therapy and four weeks after finished radiotherapy, our team performed an Ivor-Lewis totally minimal invasive esophagectomy with laparoscopic gastroplasty and right uniportal thoracoscopy with intrathoracic side-to-side semi mechanic esophago-gastric anastomosis. No post-operative complications were documented. The patient was discharged in post-operative day 8. Pathological study confirmed the diagnosis of adenocarcinoma ypT3N1M0 Stage IIIB. Four months later, there were no signs of local recurrence or stricture. This is the first Ivor-Lewis esophagectomy in Costa Rica with this uniportal thoracoscopic approach. This technique would help reduce post-operative pain, better cosmesis, with less risk of late stricture, faster recovery and less hospital stay. |
| Pays: | Portal de Revistas UCR |
| Institution: | Universidad de Costa Rica |
| Repositorio: | Portal de Revistas UCR |
| Langue: | Español |
| OAI Identifier: | oai:portal.ucr.ac.cr:article/51172 |
| Accès en ligne: | https://revistas.ucr.ac.cr/index.php/clinica/article/view/51172 |
| Mots-clés: | Esofagectomía; cirugía torácica asistida por video (VATS); cirugía mínimamente invasiva. |