@entity355 ( @entity355 ) is a precursor of @entity420 and is associated with @entity354 , which is often preceded by a @entity357 . We describe a case of @entity420 arising in long-segment @entity355 (LSBE) associated with a @entity357 that was successfully treated with a laparoscopic transhiatal approach (LTHA) without thoracotomy. The @entity1 was a 42-year-old male who had previously undergone laryngectomy and tracheal separation to avoid repeated @entity55 . An @entity1066 was found in a @entity357 by endoscopy and superficial @entity418 was also detected in the lower thoracic esophagus. The histopathological diagnosis of biopsy samples from both lesions was @entity420 . There were difficulties with the thoracic approach because the @entity1 had severe @entity1513 and @entity1159 from @entity306 . Therefore, we performed subtotal esophagectomy by LTHA without thoracotomy. Using hand-assisted laparoscopic surgery, the esophageal hiatus was divided and @entity544 was introduced into the mediastinum. A hernial sac was identified on the cranial side of the right crus of the diaphragm and carefully separated from the surrounding tissues. Abruption of the thoracic esophagus was performed up to the level of the arch of the azygos vein via LTHA. A cervical incision was made in the left side of the permanent @entity8276 , the cervical esophagus was divided, and gastric tube reconstruction was performed via a posterior mediastinal route. The operative time was 175 min, and there was 61 mL of @entity548 . A histopathological examination revealed superficial @entity420 in LSBE. Our surgical procedure provided a good surgical view and can be safely applied to @entity1 with a @entity357 and @entity1513 .

Laparoscopic transhiatal approach for resection of an XXXX in long-segment @entity355 .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity8276 :: ('MESH:D014133', 'Disease') :: ['tracheal stoma'] @entity355 :: ('MESH:D001471', 'Disease') :: ['BE', "Barrett's esophagus"] @entity55 :: ('MESH:D011014', 'Disease') :: ['aspiration pneumonitis'] @entity548 :: ('MESH:D006470', 'Disease') :: ['intra-operative bleeding'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulcerative lesion'] @entity1513 :: ('MESH:D007738', 'Disease') :: ['kyphosis'] @entity357 :: ('MESH:D006551', 'Disease') :: ['hiatal hernia'] @entity418 :: ('MESH:D004938', 'Disease') :: ['esophageal cancer'] @entity354 :: ('MESH:D005764', 'Disease') :: ['gastroesophageal reflux disease'] @entity1159 :: ('MESH:D003286', 'Disease') :: ['muscular contractures'] @entity544 :: ('MESH:D002245', 'Chemical') :: ['carbon dioxide'] @entity420 :: ('MESH:D000230', 'Disease') :: ['esophageal adenocarcinoma', 'adenocarcinoma'] @entity306 :: ('MESH:D002547', 'Disease') :: ['cerebral palsy']
@entity420 :: (MESH:D000230,Disease) :: ['adenocarcinoma']
