TY - JOUR
T1 - A case of esophageal cancer with an aberrant right subclavian artery treated with mediastinoscopic esophagectomy
AU - Hashimoto, Masashi
AU - Shirakawa, Yasuhiro
AU - Maeda, Naoaki
AU - Tanabe, Shunsuke
AU - Sakurama, Kazufumi
AU - Noma, Kazuhiro
AU - Fujiwara, Toshiyoshi
N1 - Publisher Copyright:
© 2020 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.
PY - 2021/4/1
Y1 - 2021/4/1
N2 - An aberrant right subclavian artery (ARSA) is one of the famous anatomical abnormalities with a prevalence of 0.16-4.4%. In esophagectomy, anatomical abnormalities of the ARSA could cause complications with some surgical procedures. An 85-year old man was referred to our department for esophageal adenocarcinoma that was at a slightly high position for esophagectomy with the abdominal approach. However, he had a significant past medical history. This risk factor made it difficult to perform thoracoscopic esophagectomy. He underwent mediastinoscopic esophagectomy (ME) with the left cervical and laparoscopic approach. The ARSA presented no difficulties with the ME surgical technique including the dissection of the left recurrent laryngeal nerve lymph node. Although this patient had a respiratory dysfunction and some difficulties in a prone position, ME enabled a safe esophagectomy with lymph node dissection.
AB - An aberrant right subclavian artery (ARSA) is one of the famous anatomical abnormalities with a prevalence of 0.16-4.4%. In esophagectomy, anatomical abnormalities of the ARSA could cause complications with some surgical procedures. An 85-year old man was referred to our department for esophageal adenocarcinoma that was at a slightly high position for esophagectomy with the abdominal approach. However, he had a significant past medical history. This risk factor made it difficult to perform thoracoscopic esophagectomy. He underwent mediastinoscopic esophagectomy (ME) with the left cervical and laparoscopic approach. The ARSA presented no difficulties with the ME surgical technique including the dissection of the left recurrent laryngeal nerve lymph node. Although this patient had a respiratory dysfunction and some difficulties in a prone position, ME enabled a safe esophagectomy with lymph node dissection.
KW - aberrant right subclavian artery
KW - esophageal squamous cell carcinoma
KW - mediastinoscopic esophagectomy
UR - http://www.scopus.com/inward/record.url?scp=85103803618&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85103803618&partnerID=8YFLogxK
U2 - 10.1111/ases.12859
DO - 10.1111/ases.12859
M3 - Article
C2 - 32851800
AN - SCOPUS:85103803618
VL - 14
SP - 293
EP - 296
JO - Asian journal of endoscopic surgery
JF - Asian journal of endoscopic surgery
SN - 1758-5902
IS - 2
ER -
