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Two Cases of Laparoscopic Resection of Siewert Type II Adenocarcinoma of the Esophagogastric Junction Using a Transhiatal Approach and Complicated by Hemopericardium

Case series Patients: Male, 67-year-old • Male, 69-year-old Final Diagnosis: Adenocarcinoma of the esophagogastric junction Symptoms: Tachycardia and low blood pressure Clinical Procedure: — Specialty: Gastroenterology and Hepatology OBJECTIVE: Unusual clinical course BACKGROUND: Siewert type II ade...

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Autores principales: Wang, Na, Ma, Longyin, Gao, Zhenguo, Liu, Shunying, Qin, Xiangzhi, Ren, Mingyang, Bai, Dan, Peng, Yong, Tian, Yunhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10294719/
https://www.ncbi.nlm.nih.gov/pubmed/37322866
http://dx.doi.org/10.12659/AJCR.939376
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author Wang, Na
Ma, Longyin
Gao, Zhenguo
Liu, Shunying
Qin, Xiangzhi
Ren, Mingyang
Bai, Dan
Peng, Yong
Tian, Yunhong
author_facet Wang, Na
Ma, Longyin
Gao, Zhenguo
Liu, Shunying
Qin, Xiangzhi
Ren, Mingyang
Bai, Dan
Peng, Yong
Tian, Yunhong
author_sort Wang, Na
collection PubMed
description Case series Patients: Male, 67-year-old • Male, 69-year-old Final Diagnosis: Adenocarcinoma of the esophagogastric junction Symptoms: Tachycardia and low blood pressure Clinical Procedure: — Specialty: Gastroenterology and Hepatology OBJECTIVE: Unusual clinical course BACKGROUND: Siewert type II adenocarcinoma of the esophagogastric junction is located at the boundary of the distal esophagus and gastric cardia, and surgical resection is currently performed using open or laparoscopic methods. This report presents 2 cases of laparoscopic resection of Siewert type II adenocarcinoma of the esophagogastric junction using a transhiatal approach, complicated by hemopericardium. CASE REPORTS: We present 2 patients diagnosed with Siewert type II esophagogastric junction cancer. A 67-year-old man had intermittent dull pain in the epigastrium without apparent cause for 10 months. A 69-year-old man had persistent dull pain in the middle and upper abdomen for more than 3 months and acid reflux after eating. Gastroscopy with pathological examination confirmed the diagnoses. The patients underwent laparoscopic transhiatal total gastrectomy according to the Japanese Gastric Cancer Treatment Guidelines 2018 (5(th) edition). Pathological analysis classified the cancers as T3N1M0 and T2N0M0, respectively. The patients’ cases were complicated with hemopericardium 18 h and 23 h after surgery, respectively. The shared clinical symptoms of the patients included tachycardia and low blood pressure. Cardiovascular color Doppler ultrasound and computed tomography (CT) were used to identify the hemopericardium. Following emergent ultrasound-guided pericardiocentesis and drainage, the vital signs of the patients improved. Both patients recovered well, and no other complications occurred. CONCLUSIONS: Hemopericardium is a life-threatening complication for patients with esophageal-gastric junction cancer who undergo transhiatal laparoscopic surgery. Quick detection and intervention for postoperative hemopericardium following laparoscopic transhiatal total gastrectomy are important. Ultrasound-guided pericardiocentesis and drainage is effective for the treatment of postoperative hemopericardium.
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spelling pubmed-102947192023-06-28 Two Cases of Laparoscopic Resection of Siewert Type II Adenocarcinoma of the Esophagogastric Junction Using a Transhiatal Approach and Complicated by Hemopericardium Wang, Na Ma, Longyin Gao, Zhenguo Liu, Shunying Qin, Xiangzhi Ren, Mingyang Bai, Dan Peng, Yong Tian, Yunhong Am J Case Rep Articles Case series Patients: Male, 67-year-old • Male, 69-year-old Final Diagnosis: Adenocarcinoma of the esophagogastric junction Symptoms: Tachycardia and low blood pressure Clinical Procedure: — Specialty: Gastroenterology and Hepatology OBJECTIVE: Unusual clinical course BACKGROUND: Siewert type II adenocarcinoma of the esophagogastric junction is located at the boundary of the distal esophagus and gastric cardia, and surgical resection is currently performed using open or laparoscopic methods. This report presents 2 cases of laparoscopic resection of Siewert type II adenocarcinoma of the esophagogastric junction using a transhiatal approach, complicated by hemopericardium. CASE REPORTS: We present 2 patients diagnosed with Siewert type II esophagogastric junction cancer. A 67-year-old man had intermittent dull pain in the epigastrium without apparent cause for 10 months. A 69-year-old man had persistent dull pain in the middle and upper abdomen for more than 3 months and acid reflux after eating. Gastroscopy with pathological examination confirmed the diagnoses. The patients underwent laparoscopic transhiatal total gastrectomy according to the Japanese Gastric Cancer Treatment Guidelines 2018 (5(th) edition). Pathological analysis classified the cancers as T3N1M0 and T2N0M0, respectively. The patients’ cases were complicated with hemopericardium 18 h and 23 h after surgery, respectively. The shared clinical symptoms of the patients included tachycardia and low blood pressure. Cardiovascular color Doppler ultrasound and computed tomography (CT) were used to identify the hemopericardium. Following emergent ultrasound-guided pericardiocentesis and drainage, the vital signs of the patients improved. Both patients recovered well, and no other complications occurred. CONCLUSIONS: Hemopericardium is a life-threatening complication for patients with esophageal-gastric junction cancer who undergo transhiatal laparoscopic surgery. Quick detection and intervention for postoperative hemopericardium following laparoscopic transhiatal total gastrectomy are important. Ultrasound-guided pericardiocentesis and drainage is effective for the treatment of postoperative hemopericardium. International Scientific Literature, Inc. 2023-06-16 /pmc/articles/PMC10294719/ /pubmed/37322866 http://dx.doi.org/10.12659/AJCR.939376 Text en © Am J Case Rep, 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Wang, Na
Ma, Longyin
Gao, Zhenguo
Liu, Shunying
Qin, Xiangzhi
Ren, Mingyang
Bai, Dan
Peng, Yong
Tian, Yunhong
Two Cases of Laparoscopic Resection of Siewert Type II Adenocarcinoma of the Esophagogastric Junction Using a Transhiatal Approach and Complicated by Hemopericardium
title Two Cases of Laparoscopic Resection of Siewert Type II Adenocarcinoma of the Esophagogastric Junction Using a Transhiatal Approach and Complicated by Hemopericardium
title_full Two Cases of Laparoscopic Resection of Siewert Type II Adenocarcinoma of the Esophagogastric Junction Using a Transhiatal Approach and Complicated by Hemopericardium
title_fullStr Two Cases of Laparoscopic Resection of Siewert Type II Adenocarcinoma of the Esophagogastric Junction Using a Transhiatal Approach and Complicated by Hemopericardium
title_full_unstemmed Two Cases of Laparoscopic Resection of Siewert Type II Adenocarcinoma of the Esophagogastric Junction Using a Transhiatal Approach and Complicated by Hemopericardium
title_short Two Cases of Laparoscopic Resection of Siewert Type II Adenocarcinoma of the Esophagogastric Junction Using a Transhiatal Approach and Complicated by Hemopericardium
title_sort two cases of laparoscopic resection of siewert type ii adenocarcinoma of the esophagogastric junction using a transhiatal approach and complicated by hemopericardium
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10294719/
https://www.ncbi.nlm.nih.gov/pubmed/37322866
http://dx.doi.org/10.12659/AJCR.939376
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