PMC5099273_01
Upper gastrointestinal series revealed the tumor was in the thoracic esophagus.
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An upper gastrointestinal series revealed irregular filling defect and niche in the thoracic esophagus, the length 4.5 cm (Fig. 1).
CT-scan of the chest showing a ground-glass opacity in the right superior lobe (black arrow) associated with an anterior mediastinal solid lesion (white arrow).
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Further computed tomography (CT) of the thorax displayed the esophageal tumor with no signs of mediastinal infiltration and a 20 mm lesion in the right upper lobe, as well as an antero-superior mediastinal mass (Fig. 2).
A Port placement during VATS thymomectomy, filled triangle, 10-mm port for observation; filled circle, 20-mm port; filled square, 30-mm port. B Port placement during VATS lobectomy, filled triangle, 10-mm port for observation; filled circle, 30-mm port; filled square, 40-mm port. C Port placement in the abdomen, filled triangle, 5-mm port; filled circle, 10-mm port, I-port for observation.
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The positions of trocars were shown in Fig. 3A. The positions of trocars were shown in Fig. 3B. After five abdominal trocars (Fig. 3C) were introduced and CO2 was insufflated at a pressure of 10 mmHg to expand the abdomen, stomach mobilization and paracardial lymph node dissection were performed by an ultrasonic scalpel with the right gastroepiploic artery reserved.