{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:15:50Z","timestamp":1783509350198,"version":"3.55.0"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":188,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Oesophageal squamous cell carcinoma is associated with poor prognosis, particularly in resource\u2010limited settings where access to advanced staging, multi\u2010modal oncology treatment and complex surgical care is constrained. Ivor Lewis oesophagectomy is an established surgical approach for selected mid\u2010 and distal oesophageal tumours, but its implementation requires specialised surgical, anaesthetic and peri\u2010operative support. To the best of our knowledge, this is the first documented report of Ivor Lewis oesophagectomy for oesophageal squamous cell carcinoma performed in Somalia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 42\u2010year\u2010old female presented with a 3\u2010month history of progressive dysphagia affecting both solid and liquid foods. Upper gastrointestinal endoscopy demonstrated a mid\u2010oesophageal mass, and biopsy confirmed Grade 1 well\u2010differentiated squamous cell carcinoma. Contrast\u2010enhanced CT of the chest and abdomen showed a mid\/subhilar oesophageal tumour with luminal narrowing and proximal oesophageal dilatation, without radiological evidence of distant metastasis. Because PET\u2010CT and endoscopic ultrasound were unavailable, precise T and N staging could not be determined; therefore, the disease was clinically staged as cT2\u2013T3 Nx M0 and considered resectable. Neoadjuvant chemoradiotherapy was considered, but timely access to standardised treatment was limited. Upfront curative\u2010intent surgery was therefore selected after assessment of resectability, patient fitness and available local resources. The patient underwent open Ivor Lewis oesophagectomy with gastric conduit formation, limited lymphadenectomy, feeding jejunostomy placement and hand\u2010sewn intra\u2010thoracic oesophagogastric anastomosis. Operative time was 5\u2009h, estimated blood loss was 800\u2009mL and there were no intra\u2010operative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Post\u2010operative CT demonstrated small bilateral pleural effusions, mild pneumothorax and pneumomediastinum, which were managed conservatively without reoperation or invasive intervention. A post\u2010operative day\u20107 contrast swallow study showed no anastomotic leak or obstruction. The final histopathology confirmed Grade 1 well\u2010differentiated squamous cell carcinoma with an R1 resection margin, indicating microscopic tumour involvement at the margin. The exact lymph node yield and number of metastatic lymph nodes were not clearly documented, limiting complete pathological nodal staging and assessment of lymphadenectomy adequacy. Intra\u2010operative frozen\u2010section margin assessment was not performed because this facility was not reliably available. At 7 weeks\u2019 follow\u2010up, the patient was tolerating oral intake with no clinical evidence of anastomotic leak or stricture, and oncology review was arranged for consideration of adjuvant treatment and structured surveillance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case demonstrates the technical feasibility of open Ivor Lewis oesophagectomy for oesophageal squamous cell carcinoma in a resource\u2010limited setting. However, the R1 margin, incomplete nodal assessment, limited staging modalities and short follow\u2010up mean that this case should be interpreted as a technically successful, curative\u2010intent procedure rather than evidence of complete oncological clearance. Long\u2010term oncological follow\u2010up remains ongoing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/cris\/7934976","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:23:35Z","timestamp":1783506215000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["First Documented Ivor Lewis Oesophagectomy for Oesophageal Squamous Cell Carcinoma in Somalia: A Case Report From a Resource\u2010Limited Setting"],"prefix":"10.1155","volume":"2026","author":[{"given":"Resul","family":"Nusreto\u011flu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9082-5712","authenticated-orcid":false,"given":"Elmi Kasim","family":"Osman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60643-6"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60160-X"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001098"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.26383"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30001-1"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)70115-4"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(15)00223-5"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1112088"},{"key":"e_1_2_11_10_2","volume-title":"The Management of Oesophageal Cancer: The Surgeon\u2019s Perspective","author":"Talavera-Urquijo E.","year":"2022"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-009-0827-4"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70213-X"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182590603"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-014-2516-0"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cris\/7934976","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cris\/7934976","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cris\/7934976","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:23:37Z","timestamp":1783506217000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cris\/7934976"}},"subtitle":[],"editor":[{"given":"Paola","family":"De Nardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cris\/7934976"],"URL":"https:\/\/doi.org\/10.1155\/cris\/7934976","archive":["Portico"],"relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-02-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7934976"}}