Spatial relationships of the bronchial arteries to the left recurrent laryngeal nerve in the sub-aortic arch area
Purpose To safely perform lymphadenectomy in the sub-aortic arch area during esophagectomy for esophageal cancer, we investigated the spatial relationships between the bronchial arteries (BAs) and the left recurrent laryngeal nerve (LRLN). Methods For this macro-anatomical study, 72 cadavers were us...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2018-03, Vol.48 (3), p.346-351 |
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| creator | Hayasaka, Ken Ishida, Hajime Kimura, Ryosuke Nishimaki, Tadashi |
| description | Purpose
To safely perform lymphadenectomy in the sub-aortic arch area during esophagectomy for esophageal cancer, we investigated the spatial relationships between the bronchial arteries (BAs) and the left recurrent laryngeal nerve (LRLN).
Methods
For this macro-anatomical study, 72 cadavers were used.
Results
Of the 195 dissected BAs, 15 (7.7%) arteries ran dorsally across the LRLN. Such a running pattern of the BA was found in 15 (20.8%) of the 72 cadavers. Fourteen (93.3%) of the 15 arteries ran anteriorly along the left side of the esophagus, and 13 (86.7%) passed further to the lateral side of the left main bronchus to reach the ventral surface of the tracheobronchus; we named this running pattern “Type III”. Of the 51 arteries with the Type III pattern, 25.5% ran across the dorsal side of the LRLN.
Conclusion
Approximately 20% of the cadavers had BAs running dorsally to the LRLN in the sub-aortic arch area. Most of these arteries had the Type III pattern. One-quarter of the BAs with the Type III pattern showed this running pattern. Care must be practiced to safely perform lymphadenectomy for esophageal cancer in patients with Type III BAs. |
| doi_str_mv | 10.1007/s00595-017-1593-8 |
| format | Article |
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To safely perform lymphadenectomy in the sub-aortic arch area during esophagectomy for esophageal cancer, we investigated the spatial relationships between the bronchial arteries (BAs) and the left recurrent laryngeal nerve (LRLN).
Methods
For this macro-anatomical study, 72 cadavers were used.
Results
Of the 195 dissected BAs, 15 (7.7%) arteries ran dorsally across the LRLN. Such a running pattern of the BA was found in 15 (20.8%) of the 72 cadavers. Fourteen (93.3%) of the 15 arteries ran anteriorly along the left side of the esophagus, and 13 (86.7%) passed further to the lateral side of the left main bronchus to reach the ventral surface of the tracheobronchus; we named this running pattern “Type III”. Of the 51 arteries with the Type III pattern, 25.5% ran across the dorsal side of the LRLN.
Conclusion
Approximately 20% of the cadavers had BAs running dorsally to the LRLN in the sub-aortic arch area. Most of these arteries had the Type III pattern. One-quarter of the BAs with the Type III pattern showed this running pattern. Care must be practiced to safely perform lymphadenectomy for esophageal cancer in patients with Type III BAs.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-017-1593-8</identifier><identifier>PMID: 28948403</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Aorta, Thoracic - innervation ; Bronchial Arteries - anatomy & histology ; Cadaver ; Esophageal Neoplasms - surgery ; Esophagectomy ; Female ; Humans ; Lymph Node Excision ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Recurrent Laryngeal Nerve - anatomy & histology ; Surgery ; Surgical Oncology</subject><ispartof>Surgery today (Tokyo, Japan), 2018-03, Vol.48 (3), p.346-351</ispartof><rights>Springer Japan KK 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-4e29678bce5948bf1e88ed4339ac7fbde8409e7b57619992a79d9adfcf6172cf3</citedby><cites>FETCH-LOGICAL-c434t-4e29678bce5948bf1e88ed4339ac7fbde8409e7b57619992a79d9adfcf6172cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-017-1593-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-017-1593-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28948403$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayasaka, Ken</creatorcontrib><creatorcontrib>Ishida, Hajime</creatorcontrib><creatorcontrib>Kimura, Ryosuke</creatorcontrib><creatorcontrib>Nishimaki, Tadashi</creatorcontrib><title>Spatial relationships of the bronchial arteries to the left recurrent laryngeal nerve in the sub-aortic arch area</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Purpose
To safely perform lymphadenectomy in the sub-aortic arch area during esophagectomy for esophageal cancer, we investigated the spatial relationships between the bronchial arteries (BAs) and the left recurrent laryngeal nerve (LRLN).
Methods
For this macro-anatomical study, 72 cadavers were used.
Results
Of the 195 dissected BAs, 15 (7.7%) arteries ran dorsally across the LRLN. Such a running pattern of the BA was found in 15 (20.8%) of the 72 cadavers. Fourteen (93.3%) of the 15 arteries ran anteriorly along the left side of the esophagus, and 13 (86.7%) passed further to the lateral side of the left main bronchus to reach the ventral surface of the tracheobronchus; we named this running pattern “Type III”. Of the 51 arteries with the Type III pattern, 25.5% ran across the dorsal side of the LRLN.
Conclusion
Approximately 20% of the cadavers had BAs running dorsally to the LRLN in the sub-aortic arch area. Most of these arteries had the Type III pattern. One-quarter of the BAs with the Type III pattern showed this running pattern. Care must be practiced to safely perform lymphadenectomy for esophageal cancer in patients with Type III BAs.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aorta, Thoracic - innervation</subject><subject>Bronchial Arteries - anatomy & histology</subject><subject>Cadaver</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy</subject><subject>Female</subject><subject>Humans</subject><subject>Lymph Node Excision</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Recurrent Laryngeal Nerve - anatomy & histology</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYMoWqs_wI3M0k00r2mSpRRfILhQ1yGTubEj00mbZAT_velDl25yA-c7h3sPQheUXFNC5E0ipNY1JlRiWmuO1QGaUMFnmCnKD9GEaEExZZqeoNOUPglhQhFyjE6Y0kIJwido_bqyubN9FaEvnzCkRbdKVfBVXkDVxDC4xUa2MUPsIFU5bJUefC4eN8YIQ656G7-HDyjgAPELqm7YUmlssA0xd64EuEV5wJ6hI2_7BOf7OUXv93dv80f8_PLwNL99xk5wkbEApmdSNQ7qsmvjKSgFreBcWyd900LZX4NsajmjWmtmpW61bb3zMyqZ83yKrna5qxjWI6Rsll1y0Pd2gDAmQ7XgTHHCZEHpDnUxpBTBm1XsluUkQ4nZNG12TZvStNk0bVTxXO7jx2YJ7Z_jt9oCsB2QilS6ieYzjHEoJ_-T-gOzBIsB</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Hayasaka, Ken</creator><creator>Ishida, Hajime</creator><creator>Kimura, Ryosuke</creator><creator>Nishimaki, Tadashi</creator><general>Springer Singapore</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20180301</creationdate><title>Spatial relationships of the bronchial arteries to the left recurrent laryngeal nerve in the sub-aortic arch area</title><author>Hayasaka, Ken ; Ishida, Hajime ; Kimura, Ryosuke ; Nishimaki, Tadashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-4e29678bce5948bf1e88ed4339ac7fbde8409e7b57619992a79d9adfcf6172cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aorta, Thoracic - innervation</topic><topic>Bronchial Arteries - anatomy & histology</topic><topic>Cadaver</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagectomy</topic><topic>Female</topic><topic>Humans</topic><topic>Lymph Node Excision</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Recurrent Laryngeal Nerve - anatomy & histology</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hayasaka, Ken</creatorcontrib><creatorcontrib>Ishida, Hajime</creatorcontrib><creatorcontrib>Kimura, Ryosuke</creatorcontrib><creatorcontrib>Nishimaki, Tadashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayasaka, Ken</au><au>Ishida, Hajime</au><au>Kimura, Ryosuke</au><au>Nishimaki, Tadashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spatial relationships of the bronchial arteries to the left recurrent laryngeal nerve in the sub-aortic arch area</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>48</volume><issue>3</issue><spage>346</spage><epage>351</epage><pages>346-351</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>Purpose
To safely perform lymphadenectomy in the sub-aortic arch area during esophagectomy for esophageal cancer, we investigated the spatial relationships between the bronchial arteries (BAs) and the left recurrent laryngeal nerve (LRLN).
Methods
For this macro-anatomical study, 72 cadavers were used.
Results
Of the 195 dissected BAs, 15 (7.7%) arteries ran dorsally across the LRLN. Such a running pattern of the BA was found in 15 (20.8%) of the 72 cadavers. Fourteen (93.3%) of the 15 arteries ran anteriorly along the left side of the esophagus, and 13 (86.7%) passed further to the lateral side of the left main bronchus to reach the ventral surface of the tracheobronchus; we named this running pattern “Type III”. Of the 51 arteries with the Type III pattern, 25.5% ran across the dorsal side of the LRLN.
Conclusion
Approximately 20% of the cadavers had BAs running dorsally to the LRLN in the sub-aortic arch area. Most of these arteries had the Type III pattern. One-quarter of the BAs with the Type III pattern showed this running pattern. Care must be practiced to safely perform lymphadenectomy for esophageal cancer in patients with Type III BAs.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>28948403</pmid><doi>10.1007/s00595-017-1593-8</doi><tpages>6</tpages></addata></record> |
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| ispartof | Surgery today (Tokyo, Japan), 2018-03, Vol.48 (3), p.346-351 |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Aged Aged, 80 and over Aorta, Thoracic - innervation Bronchial Arteries - anatomy & histology Cadaver Esophageal Neoplasms - surgery Esophagectomy Female Humans Lymph Node Excision Male Medicine Medicine & Public Health Middle Aged Original Article Recurrent Laryngeal Nerve - anatomy & histology Surgery Surgical Oncology |
| title | Spatial relationships of the bronchial arteries to the left recurrent laryngeal nerve in the sub-aortic arch area |
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