A case of esophageal cancer with an aberrant right subclavian artery treated with mediastinoscopic esophagectomy

Masashi Hashimoto, Yasuhiro Shirakawa, Naoaki Maeda, Shunsuke Tanabe, Kazufumi Sakurama, Kazuhiro Noma, Toshiyoshi Fujiwara

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)293-296
Number of pages4
JournalAsian journal of endoscopic surgery
Volume14
Issue number2
DOIs
Publication statusPublished - Apr 1 2021

Keywords

  • aberrant right subclavian artery
  • esophageal squamous cell carcinoma
  • mediastinoscopic esophagectomy

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'A case of esophageal cancer with an aberrant right subclavian artery treated with mediastinoscopic esophagectomy'. Together they form a unique fingerprint.

Cite this