Appraisal of the simultaneous right-thoracic and abdominal approach with intrathoracic reconstruction after esophageal resection for patients with intrathoracic esophageal cancer.

Background/aims: This study evaluated the surgical procedure with the simultaneous right-thoracic and abdominal approaches with intrathoracic reconstruction after performing a macroscopically curable esophageal resection and a mediastio-abdominal extended lymphadenectomy as the standard operation for patients with intrathoracic esophageal cancer.

Methodology: Forty-seven patients with thoracic esophageal cancer were operated on at the Department of Surgery I, Gunma University Hospital from 1995 to 1999. Before the end of 1997, all 21 cases underwent subtotal esophagectomy with three-field lymphadenectomy.

New method of catheter-port system implantation in hepatic arterial infusion chemotherapy.

Background: This report describes a novel method of implantation of the catheter-port system in hepatic arterial infusion chemotherapy, which is the inferior epigastric arterial approach.

Methods: Using this method, the length of incision is about 3 cm in lower abdomen. The inferior epigastric artery is exposed above the inguinal ligament.