Single‐incision laparoscopy‐assisted gastric transposition combined with thoracoscopic esophagectomy for esophageal replacement

Abstract

Introduction

We present a novel approach to single‐incision laparoscopy‐assisted gastric transposition combined with thoracoscopic esophagectomy in a child with long‐segment corrosive esophageal stricture (CES).

Materials and Surgical Technique

A 2.5‐year‐old boy with a history of caustic ingestion underwent periodic esophageal dilatations at 3‐week intervals, four sessions of topical mitomycin C application, and a strict antacid/H₂ antagonist therapy for 8 months. The esophageal replacement was indicated because of persistent corrosive esophageal stricture. First, thoracoscopic native esophagus dissection was performed. After gastric mobilization with single‐incision laparoscopy, esophagectomy and esophagogastric anastomosis were performed through the cervical incision. There was no complication, and the patient had gained weight by the end of the 12‐month follow‐up.

Discussion

Single‐incision laparoscopy‐assisted gastric transposition combined with thoracoscopic esophagectomy is feasible, safe, and effective in patients with corrosive esophageal stricture.

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