{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T21:44:08Z","timestamp":1759009448993,"version":"3.37.3"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T00:00:00Z","timestamp":1716336000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T00:00:00Z","timestamp":1716336000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Pancreatoduodenectomy and subtotal esophagectomy are widely considered the most invasive and difficult surgical procedures in gastrointestinal surgery. Subtotal esophagectomy after pancreatoduodenectomy is expected to be extremely difficult due to complicated anatomical changes, and selecting an appropriate intestinal reconstruction method will also be a difficult task. Therefore, perhaps because the method is considered impossible, there have been few reports of subtotal esophagectomy after pancreatoduodenectomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 73-year-old man with a history of pancreatoduodenectomy was diagnosed with superficial thoracic esophageal squamous cell carcinoma. Definitive chemoradiation therapy was recommended at another hospital; however, he visited our department to undergo surgery. We performed the robot-assisted thoracoscopic subtotal esophagectomy. There were some difficulties with the reconstruction: the gastric tube could not be used, the reconstruction was long, and the organs reconstructed in the previous surgery had to be preserved. However, the concurrent reconstruction was achieved with the help of a free jejunal flap and vascular reconstruction. All reconstructions from the previous surgery, including the remnant stomach, were preserved via regional abdominal lymph node dissection. After reconstruction, intravenous indocyanine green showed that circulation in the reconstructed intestines was preserved. On postoperative day 1, no recurrent nerve paralysis was observed during laryngoscopy. The patient could start oral intake smoothly 2\u00a0weeks after surgery and did not exhibit any postoperative complications related to the reconstruction. The patient was transferred to another hospital on postoperative day 21.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Owing to the free jejunal flap interposition method, we safely performed one stage subtotal esophagectomy and concurrent reconstruction, preservation of the remnant stomach, and pancreaticobiliary reconstruction in patients with a history of pancreatoduodenectomy. We believe that this method is acceptable and useful for patients undergoing complicated reconstruction.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-01919-5","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T04:01:49Z","timestamp":1716350509000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Subtotal esophagectomy and concurrent reconstruction with free jejunal flap for primary esophageal cancer after pancreatoduodenectomy"],"prefix":"10.1186","volume":"10","author":[{"given":"Kazuya","family":"Moriwake","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5584-3908","authenticated-orcid":false,"given":"Kazuhiro","family":"Noma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kento","family":"Kawasaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tasuku","family":"Matsumoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Hashimoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Kato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoaki","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunsuke","family":"Tanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Shirakawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiyoshi","family":"Fujiwara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,22]]},"reference":[{"key":"1919_CR1","doi-asserted-by":"publisher","first-page":"34372","DOI":"10.1007\/s10388-023-00993-2","volume":"20","author":"Y Kitagawa","year":"2023","unstructured":"Kitagawa Y, Ishihara R, Ishikawa H, Ito Y, Oyama T, Oyama T, et al. Esophageal cancer practice guidelines 2022 edited by the Japan esophageal society: part 1. Esophagus. 2023;20:34372. https:\/\/doi.org\/10.1007\/s10388-023-00993-2.","journal-title":"Esophagus"},{"key":"1919_CR2","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1007\/s10388-015-0509-1","volume":"13","author":"M Fukaya","year":"2016","unstructured":"Fukaya M, Nishio H, Kobayashi S, Itatsu K, Funasaka K, Shimoyama Y, et al. Synchronous double primary cancer of the esophagus and ampulla of Vater successfully treated by a two-stage operation: report of a case. Esophagus. 2016;13:295\u2013300. https:\/\/doi.org\/10.1007\/s10388-015-0509-1.","journal-title":"Esophagus"},{"key":"1919_CR3","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1007\/s00595-013-0549-x","volume":"44","author":"M Fukaya","year":"2014","unstructured":"Fukaya M, Abe T, Yokoyama Y, Itatsu K, Nagino M. Two-stage operation for synchronous triple primary cancer of the esophagus, stomach, and ampulla of Vater: report of a case. Surg Today. 2014;44:967\u201371. https:\/\/doi.org\/10.1007\/s00595-013-0549-x.","journal-title":"Surg Today"},{"key":"1919_CR4","first-page":"1246","volume":"61","author":"YN Shiryajev","year":"2014","unstructured":"Shiryajev YN, Kurosaki I, Radionov YV, Kashintsev AA, Kokhanenko NY. Esophagectomy and pancreatoduodenectomy in the same patient: tactical and technical considerations. Hepato-Gastroenterol. 2014;61:1246\u201352.","journal-title":"Hepato-Gastroenterol"},{"key":"1919_CR5","doi-asserted-by":"publisher","first-page":"786","DOI":"10.1007\/s00595-013-0791-2","volume":"44","author":"A Inoue","year":"2014","unstructured":"Inoue A, Akita H, Eguchi H, Hama N, Wada H, Kawamoto K, et al. Gastric conduit-preserving, radical pancreaticoduodenectomy with microvascular reconstruction for pancreatic head cancer after esophagectomy: report of a case. Surg Today. 2014;44:786\u201391. https:\/\/doi.org\/10.1007\/s00595-013-0791-2.","journal-title":"Surg Today"},{"key":"1919_CR6","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1016\/j.ijscr.2015.08.020","volume":"15","author":"M Okochi","year":"2015","unstructured":"Okochi M, Ueda K, Sakaba T, Kenjo A, Gotoh M. Right gastro-omental artery reconstruction after pancreaticoduodenectomy for subtotal esophagectomy and gastric pull-up. Int J Surg Case Rep. 2015;15:42\u20135. https:\/\/doi.org\/10.1016\/j.ijscr.2015.08.020.","journal-title":"Int J Surg Case Rep"},{"key":"1919_CR7","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1186\/s12893-016-0137-2","volume":"16","author":"M Fukaya","year":"2016","unstructured":"Fukaya M, Abe T, Nagino M. Rapid progressive long esophageal stricture caused by gastroesophageal reflux disease after pylorus-preserving pancreatoduodenectomy. BMC Surg. 2016;16:19. https:\/\/doi.org\/10.1186\/s12893-016-0137-2.","journal-title":"BMC Surg"},{"key":"1919_CR8","doi-asserted-by":"publisher","first-page":"679","DOI":"10.18999\/nagjms.81.4.679","volume":"81","author":"S Asai","year":"2019","unstructured":"Asai S, Fukaya M, Fujieda H, Igami T, Tsunoda N, Sakatoku Y, et al. Esophageal reconstruction using a pedicled jejunum following esophagectomy for metastatic esophageal stricture from breast cancer in a patient with previous pancreatoduodenectomy. Nagoya J Med Sci. 2019;81:679\u201385. https:\/\/doi.org\/10.18999\/nagjms.81.4.679.","journal-title":"Nagoya J Med Sci"},{"key":"1919_CR9","volume-title":"TNM classification of malignant tumours","year":"2016","unstructured":"Brierley JD, Gospodarowicz MK, Wittekind C, editors. TNM classification of malignant tumours. 8th ed. Oxford: Wiley-Blackwell; 2016.","edition":"8"},{"key":"1919_CR10","doi-asserted-by":"publisher","first-page":"1878","DOI":"10.1053\/j.gastro.2021.08.007","volume":"161","author":"K Kato","year":"2021","unstructured":"Kato K, Ito Y, Nozaki I, Daiko H, Kojima T, Yano M, et al. Parallel-group controlled trial of surgery versus chemoradiotherapy in patients with stage I esophageal squamous cell carcinoma. Gastroenterology. 2021;161:1878\u201386. https:\/\/doi.org\/10.1053\/j.gastro.2021.08.007.","journal-title":"Gastroenterology"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01919-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-01919-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01919-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T04:05:50Z","timestamp":1716350750000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-01919-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,22]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1919"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-01919-5","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2024,5,22]]},"assertion":[{"value":"18 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and the Helsinki Declaration of 1964 and later versions. Ethical approval was not applicable as this was a case report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent for publication was obtained from the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"128"}}