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OESO SEMPIRE Virtual Educational Channel Session 13

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From the Center for Robotic Esophageal Surgery University Medical Center, Mainz, Germany Hosted by Prof. Peter GRIMMINGER FEBS (hon.)

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Robotic esophagectomy for locally advanced distal esophageal cancer

Presentation of the case:

Prof. Peter Grimminger (Mainz)

Discussion points:

The role of totally robotic assisted surgery in the treatment of locally advanced tumors of distal esophagus,

Tailored treatment of advanced esophageal carcinoma.

Panel of experts for discussion:

Philip Chiu (Hong Kong)

Klaus Emmanuel (Salzburg)

Caterina Froiio (Milan)

Magnus Nilsson (Stockholm)

Richard Van Hillegersberg (Utrecht)

GIST of the Case

A 52 year old man with a locally advanced adenocarcinoma of the distal esophagus.

Two-month abdominal pain associated

with symptoms of gastro-esophageal reflux. Absence of dysphagia.

Upper gastrointestinal endoscopy: exophytic and ulcerated tumor, not stenosing, extended from 27 cm to 35 cm from upper incisors, occupying 2/3 of the circumference.

Biopsy: poorly differentiated adenocarcinoma.

Ultrasound-endoscopy staging: uT3 uN+ (peritumor lymph nodes).

Thoraco-abdominal computed tomography (CT SCAN): distal esophagus tumor,

with peritumor lymph nodes, no distant metastasis.

PET-CT: positive FDG up-take, distal esophageal carcinoma with no evidence

of distant metastasis.

Tumor markers: CA 19-9 7.2 U/ml;

CEA 2.0 U/ml

Clinical staging: uT3uN+cM0

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Organizer Frederic Giuli

Organizer of OESO SEMPIRE Virtual Educational Channel Session 13

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