{Reference Type}: Case Reports
{Title}: Combined two-stage total pancreatoduodenectomy and esophagectomy for synchronous malignancy of the pancreatic corpus and the esophagus: A surgical case report.
{Author}: Studier-Fischer A;Henriques V;Rheinheimer S;Salg GA;Nickel F;Schneider M;
{Journal}: Int J Surg Case Rep
{Volume}: 105
{Issue}: 0
{Year}: Apr 2023
暂无{DOI}: 10.1016/j.ijscr.2023.108028
{Abstract}: <B>BACKGROUND: </B>Synchronous visceral malignancy is rare especially for esophagogastric junction adenocarcinoma combined with malignancy in the pancreas. So far only 7 cases of combined partial pancreatoduodenectomy and esophagectomy for synchronous malignancy have been described in the literature and none for combined total pancreatectomy and esophagectomy.<BR><B>METHODS: </B>We report the case of a 67-year-old male patient, who underwent multi-modality treatment including two-stage total pancreatoduodenectomy and subsequent Ivor-Lewis esophagectomy for synchronous adenocarcinoma of the distal esophagus and pancreatic multilocal metastases of a renal cell carcinoma after nephrectomy 17 years ago. Pathology revealed R0 resections for both malignancies and there were no postoperative complications. A 12 months follow-up showed no signs of recurrence and a good quality of life.<BR><B>CONCLUSIONS: </B>Curative-intent, combined oncological two-stage open total pancreatoduodenectomy and esophagectomy with several days interval is safe and feasible in selected cases when performed by an experienced interdisciplinary team in a high-volume surgical center.