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Thoracoscopic Oesophagectomy Using Prone Positioning for Oesophageal Cancer With Right Aortic Arch: A Case Report
- Source :
- Anticancer research. 39(6)
- Publication Year :
- 2019
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 17917530
- Volume :
- 39
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Anticancer research
- Accession number :
- edsair.doi.dedup.....2bae2e80d96f5704cc276d70a863a994