Case Report
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World J Gastroenterol. Sep 21, 2014; 20(35): 12701-12703
Published online Sep 21, 2014. doi: 10.3748/wjg.v20.i35.12701
Successful esophagectomy in a patient with combined esophageal cancer and hemophilia B
Guo-Fei Zhang, Ying Chai, Wen-Shan Li, Lian-Sheng Huang, Gang Shen
Guo-Fei Zhang, Ying Chai, Wen-Shan Li, Gang Shen, Department of Thoracic Surgery, the Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China
Lian-Sheng Huang, Department of Hematology, the Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China
Author contributions: Zhang GF, Chai Y, Li WS and Huang LS collected the data, performed the treatment, and wrote the paper; Shen G was responsible for writing the paper and supervised the study.
Correspondence to: Gang Shen, MD, Department of Thoracic Surgery, the Second Affiliated Hospital, College of Medicine, Zhejiang University, 88 Jiefang Road, Hangzhou 310009, Zhejing Province, China. zycszju@yahoo.com
Telephone: +86-571-87783641 Fax: +86-571-87783642
Received: March 24, 2014
Revised: April 29, 2014
Accepted: June 12, 2014
Published online: September 21, 2014
Processing time: 179 Days and 9.2 Hours
Abstract

Patients with esophageal cancer often require esophagectomy with esophagogastrostomy. However, the incidence of complications, such as hemorrhage, during operations for esophageal cancer is high, even with minimally invasive surgery. Without the appropriate interventions, the risk of major intraoperative and postoperative hemorrhage is very high in patients with esophageal cancer and hemophilia. We report the case of a 45-year-old man with esophageal cancer and hemophilia B who underwent a successful hybrid, minimally invasive Ivor-Lewis esophagectomy with appropriate perioperative management.

Keywords: Esophageal cancer; Esophagectomy; Hemophilia B; Esophagogastrostomy; Hemorrhage

Core tip: The incidence of complications, such as hemorrhage, in operations for esophageal cancer is high, even with minimally invasive surgery. Without the appropriate interventions, the risk of major intraoperative and postoperative hemorrhage is very high in patients with esophageal cancer and hemophilia. We report the case of a 45-year-old man with esophageal cancer and hemophilia B who underwent a successful hybrid, minimally invasive Ivor-Lewis esophagectomy with appropriate perioperative management.