Simultaneous esophagectomy and off-pump coronary artery bypass grafting for esophageal cancer:a report of five cases with literature review
10.3760/cma.j.issn.1001-4497.2017.07.003
- VernacularTitle:食管癌切除同期非体外循环下冠状动脉旁路移植5例临床分析并文献复习
- Author:
Hongtao WANG
;
Guolei WANG
;
Wenguang WANG
;
Yuhang CHEN
;
Zhenjiang WU
;
Chengzhi DING
- Keywords:
Esophageal cancer;
Coronary artery disease;
Off-pump coronary artery bypass grafting;
Simultaneous operation
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2017;33(7):394-396
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the possibility and safety of the simultaneous esophagectomy and off-pump coronary artery bypass grafting(OPCABG) in patients suffering from esophageal cancer combined with coronary artery and summarize the clinical experiences.Methods We retrospectively analyzed the clinical dates of 5 patients performed at the Henan province Chest Hospital from May 2009 to December 2014.The related literature was reviewed.Results All patients were performed the simultaneous esophagectomy and OPCABG through the single left posterolateral thoracotomy 4cases and through median sternotomy and left thoracotomy 1 case.Instrument anastomosis under aortic arch 2 cases and above aortic arch 1 case , left neck anastomosis by hand 2 cases.Coronary artery three ressel disease 3cases, double-vessel 1 case, left main single vessel 1 case.There was no hospital death in this series.Postoperative complications included arrhythmia,anastomotic fistula and pneumonia.Only one patient was still alive, the other patients died of tumor recurrence or metastasis and median survival time was 20.6 months.Conclusion Simultaneous esophagectomy and OPCABG is a safe and feasible treatment modality in patients with severe CAD and esophageal cancer and it may be more beneficial for the patient with early esophageal cancer.
