We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Successful video-assisted thoracoscopic surgery in prone position in patients with esophageal cancer and aberrant right subclavian artery: report of three cases.
- Authors
Shindo, Koji; Nagai, Eishi; Nabae, Toshinaga; Eguchi, Toru; Moriyama, Taiki; Ohuchida, Kenoki; Manabe, Tatsuya; Ohtsuka, Takao; Oda, Yoshinao; Hashizume, Makoto; Nakamura, Masafumi
- Abstract
Background: An aberrant right subclavian artery (ARSA) with an associated nonrecurrent right inferior laryngeal nerve (NRILN) is a relatively rare anomaly that occurs at a frequency of 0.3 to 2.0% of the general population. NRILN has been mainly documented in the head and neck region; it has been rarely described in patients with esophageal cancer, especially those undergoing thoracoscopic surgery. Video-assisted thoracoscopic surgery for esophageal cancer (VATS-E) is becoming more widespread as a reliable minimally invasive surgical procedure associated with reduced perioperative complications. Case presentation: Herein, we report three cases of esophageal cancer with ARSA and NRILN which underwent successful VATS-E. Case 1, a 53-year-old male who had early stage esophageal cancer was performed VATS-E. Upper gastrointestinal (GI) series showed 'Bayonet sign' (T1aN0M0, pStageIA in UICC). Case 2, a 75-year-old male who had advanced esophageal cancer was performed neoadjuvant chemotherapy and following VATS-E. This case had right thoracic duct and 'Bayonet sign' on upper GI series (T1bN2M0, pStage IIIA in UICC). Case3, a 72-year-old male who had advanced esophageal cancer was performed neoadjuvant chemotherapy and following VATS-E (T3N2M0, pStageIIIB in UICC). All of these three cases were performed VATS-E and discharged without any complication. Conclusion: VATS-E in the prone position is a feasible procedure that can reduce the risk of complications with an enlarged and clear view, and knowledge of this type of anomaly is very important for surgeons who perform esophagectomy.
- Subjects
CHEST endoscopic surgery; ESOPHAGEAL cancer patients; SUBCLAVIAN artery; LARYNGEAL nerves
- Publication
Surgical Case Reports, 2017, Vol 3, Issue 1, p1
- ISSN
2198-7793
- Publication type
Article
- DOI
10.1186/s40792-017-0360-9