第9巻 2013年2月　第1号

■症例報告

チーム医療で喉頭温存食道切除が可能であった頸胸部進行食道癌の1例
萩原　信敏¹, 松谷　毅¹, 野村　務¹, 中溝　宗永², 横島　一彦², 河越　哲郎³, 川見　典之³, 宮下　次廣⁴, 宮下　正夫¹, 内田　英二^1
1日本医科大学消化器外科学
²日本医科大学耳鼻咽喉科学
³日本医科大学内科学（消化器内科学）
⁴日本医科大学放射線医学

A Successfully Treated Case of Cervico-thoracic Esophageal Cancer by Larynx-preserving Esophagectomy in Team Medication
Nobutoshi Hagiwara¹, Takeshi Matsutani¹, Tsutomu Nomura¹, Munenaga Nakamizo², Kazuhiko Yokoshima², Tetsuro Kawagoe³, Noriyuki Kawami³, Tsugihiro Miyashita⁴, Masao Miyashita¹ and Eiji Uchida^1
1)Department of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School
²⁾Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Nippon Medical School
³⁾Department of Gastroenterology, Nippon Medical School
⁴⁾Department of Radiation Oncology, Nippon Medical School

A 54-year-old male with a chief complaint of dysphagia was admitted to our hospital. Upper gastrointestinal endoscopy and esophagogram revealed a submucosal tumor in the cervico-thoracic esophagus, and pathological examination of the biopsy specimens revealed a squamous cell carcinoma. Computed tomography of the neck and chest showed cT4N0M0, cStage III. The patient received neoadjuvant chemotherapy (NAC) with cisplatin and 5-FU. Follow-up examinations after NAC evaluated a stable disease. The patient underwent larynx-preserving thoracoscopic esophagectomy. Reconstruction was done using a gastric tube through the retrosternal route and free jejunum graft with micro-vascular anastomosis. The postoperative course was uneventful and the patient had been able to eat most foods without aspiration. We herein describe the importance of team management for a cervico-thoracic esophageal cancer.

日医大医会誌 2013; 9(1), 20-24

Key words
cervico-thoracic esophageal cancer, larynx-preserving esophagectomy, team medication

Correspondence to
Nobutoshi Hagiwara, Department of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
E-mail：hagi@nms.ac.jp

受付：2012年9月10日　受理：2012年10月31日