Combined esophagogastric resection for cancer at esophagogastric junction and off pump CABG through left posterolateral thoracotomy |
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Authors: | Plaban Mukherjee Kallol Dasbaksi Ramendra Narayan Hazra Srikanta Gangopadhyay Malay Mondal Sushil Nayak Bijendra Nath Roy |
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Affiliation: | (1) Department of Surgery, Addenbrooke’s Hospital, Cambridge, Cambridgeshire, UK |
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Abstract: | Carcinoma of the esophagus can coexist with significant Coronary Artery Disease (CAD) in the elderly. A staged approach to the two problems, carrying out Coronary Artery Bypass Grafting (CABG) first followed by cancer resection at two anesthetic settings is a logical way of tackling the conditions. But it lengthens morbidity and increases economic burden. Simultaneous tackling of these two problems, i.e. operation at the same anesthetic settings can offer a better outcome albeit at the cost of a longer operative time. We present such a patient who underwent simultaneous Off Pump Coronary Artery Bypass Grafting (OPCAB) and esophago-gastric resection successfully through a posterolateral thoracotomy and upper midline laparotomy. |
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