Boonnuch W, Akaraviputh T, Nino C, Yiengpruksawan A, Christiano AA. Successful treatment of esophageal metastasis from hepatocellular carcinoma using the da Vinci robotic surgical system. World J Gastrointest Surg 2011; 3(6): 82-85 [PMID: 21765971 DOI: 10.4240/wjgs.v3.i6.82]
Corresponding Author of This Article
Thawatchai Akaraviputh, MD, Minimally Invasive Surgery Center, Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand. sitak@mahidol.ac.th
Article-Type of This Article
Case Report
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World J Gastrointest Surg. Jun 27, 2011; 3(6): 82-85 Published online Jun 27, 2011. doi: 10.4240/wjgs.v3.i6.82
Successful treatment of esophageal metastasis from hepatocellular carcinoma using the da Vinci robotic surgical system
Wiroon Boonnuch, Thawatchai Akaraviputh, Carnivale Nino, Anusak Yiengpruksawan, Arthur Andrew Christiano
Wiroon Boonnuch, Thawatchai Akaraviputh, Minimally Invasive Surgery Center, Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand
Carnivale Nino, Anusak Yiengpruksawan, Department of Surgery, the Valley Hospital, Valley Health System, NJ 07652, United States
Arthur Andrew Christiano, Department of Pathology, the Valley Hospital, Valley Health System, NJ 07652, United States
Author contributions: Boonnuch W originated the idea and drafted up the manuscript; Nino C collected the data; Yiengpruksawan A and Christiano AA wrote a portion of the manuscript; Akaraviputh T critically reviewed and edited the manuscript.
Correspondence to: Thawatchai Akaraviputh, MD, Minimally Invasive Surgery Center, Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand. sitak@mahidol.ac.th
Telephone: +66-2-4198006 Fax: +66-2-4121370
Received: July 8, 2010 Revised: April 2, 2011 Accepted: April 9, 2011 Published online: June 27, 2011
Abstract
A 59-year-old man with metastatic an esophageal tumor from hepatocellular carcinoma (HCC) presented with progressive dysphagia. He had undergone liver transplantation for HCC three and a half years prevously. At presentation, his radiological and endoscopic examinations suggested a submucosal tumor in the lower esophagus, causing a luminal stricture. We performed complete resection of the esophageal metastases and esophagogastrostomy reconstruction using the da Vinci robotic system. Recovery was uneventful and he was been doing well 2 mo after surgery. α-fetoprotein level decreased from 510 ng/mL to 30 ng/mL postoperatively. During the follow-up period, he developed a recurrent esophageal stricture at the anastomosis site and this was successfully treated by endoscopic esophageal dilatation.
