Thoracoscopic Oesophagectomy Using Prone Positioning for Oesophageal Cancer With Right Aortic Arch: A Case Report
| Autor: | Hiroshi Edagawa, Atsushi Tomibayashi, Hiroshi Okitsu, Ryotaro Tani, Yasuhiro Yuasa, Yuta Matsuo, Daisuke Matsumoto, Osamu Mori, Masakazu Goto, Shunsuke Kuramoto |
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| Rok vydání: | 2019 |
| Předmět: |
Aortic arch
Male Cancer Research medicine.medical_specialty Esophageal Neoplasms Computed Tomography Angiography medicine.medical_treatment Aorta Thoracic Aortography Patient Positioning medicine.artery Prone Position Medicine Humans Aged Surgical team business.industry Thoracoscopy Cancer Mediastinum Vascular ring General Medicine medicine.disease Neoadjuvant Therapy Surgery Aortic diverticulum Esophagectomy Prone position medicine.anatomical_structure Treatment Outcome Oncology Chemotherapy Adjuvant Lymph Node Excision Lymphadenectomy business |
| Zdroj: | Anticancer research. 39(6) |
| ISSN: | 1791-7530 |
| Popis: | BACKGROUND/AIM Right aortic arch (RAA) is a rare abnormality of the aortic arch that forms a vascular ring. Oesophageal cancer (EC) accompanied with RAA is even rarer, and in such cases, it is very important to understand the anatomical structure in the upper mediastinum in order to perform a safe and curative operation. PATIENTS AND METHODS A 67-year-old man who presented with pharyngeal discomfort was admitted to our hospital. Further examinations revealed advanced thoracic EC accompanied with RAA and aortic diverticulum. RESULTS After neoadjuvant chemotherapy, we successfully and safely performed thoracoscopic oesophagectomy and lymphadenectomy using the prone positioning. CONCLUSION There exist only a few reports of thoracoscopic oesophagectomy for EC with RAA. Sufficient preoperative preparation and sharing an adequate strategy for the surgical approach with the surgical team are definitely necessary. Although the thoracoscopic approach for EC with RAA is useful, more considerations are needed for some issues. |
| Databáze: | OpenAIRE |
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