Mediastinoscopic view of the bronchial arteries in a series of surgical cases evaluated with three-dimensional computed tomography
Background We have routinely performed three-dimensional computed tomography (3-D CT) prior to video-assisted transmediastinal esophagectomy to evaluate the small arteries in the mediastinal operative field. This evaluation would be helpful in performing mediastinoscopic esophagectomy. Methods Thirt...
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Veröffentlicht in: | Esophagus : official journal of the Japan Esophageal Society 2018-07, Vol.15 (3), p.173-179 |
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creator | Mori, Kazuhiko Ino, Kenji Yoshimura, Shuntaro Aikou, Susumu Yagi, Koichi Nishida, Masato Mitsui, Takashi Okumura, Yasuhiro Yamagata, Yukinori Yamashita, Hiroharu Nomura, Sachiyo Seto, Yasuyuki |
description | Background
We have routinely performed three-dimensional computed tomography (3-D CT) prior to video-assisted transmediastinal esophagectomy to evaluate the small arteries in the mediastinal operative field. This evaluation would be helpful in performing mediastinoscopic esophagectomy.
Methods
Thirty-one patients who underwent transmediastinal esophagectomy with preoperative evaluations by 3-D CT were the study subject. The bronchial arteries depicted by the 3-D CT were classified by their origin and laterality. In 18 of the 31 cases, the surgical video was available and the identification rate in the video was reviewed for each of the categorized bronchial arteries.
Results
The detection rates of each classified artery were as follows (abbreviations, detection rate); the intercostal-bronchial trunk (IBT, 22/31), the direct left bronchial artery (LBA, 17/31), the common trunk of bronchial arteries (CTB, 7/31), the direct right bronchial artery (RBA, 2/31), and the ectopic arteries (16/31). The ectopic arteries arose from the aortic arch (11 cases), the right subclavian artery (6 cases) or the left subclavian artery (1 case). The identification rates of IBT, LBA, CTB, RBA and any of the ectopic arteries in the video review were 12/13, 4/8, 3/4, 1/1 and 2/10, respectively.
Conclusions
Preoperative 3-D CT was a highly sensitive evaluation for the bronchial arteries encountered during transmediastinal esophagectomy. Orthotopic arteries except for LBA were frequently identified at the predicted sites. Although RBA and CTB were present infrequently, they often flowed into regional nodes at the bilateral bronchi or the tracheal bifurcation and, therefore, should be preoperatively evaluated. |
doi_str_mv | 10.1007/s10388-018-0609-9 |
format | Article |
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We have routinely performed three-dimensional computed tomography (3-D CT) prior to video-assisted transmediastinal esophagectomy to evaluate the small arteries in the mediastinal operative field. This evaluation would be helpful in performing mediastinoscopic esophagectomy.
Methods
Thirty-one patients who underwent transmediastinal esophagectomy with preoperative evaluations by 3-D CT were the study subject. The bronchial arteries depicted by the 3-D CT were classified by their origin and laterality. In 18 of the 31 cases, the surgical video was available and the identification rate in the video was reviewed for each of the categorized bronchial arteries.
Results
The detection rates of each classified artery were as follows (abbreviations, detection rate); the intercostal-bronchial trunk (IBT, 22/31), the direct left bronchial artery (LBA, 17/31), the common trunk of bronchial arteries (CTB, 7/31), the direct right bronchial artery (RBA, 2/31), and the ectopic arteries (16/31). The ectopic arteries arose from the aortic arch (11 cases), the right subclavian artery (6 cases) or the left subclavian artery (1 case). The identification rates of IBT, LBA, CTB, RBA and any of the ectopic arteries in the video review were 12/13, 4/8, 3/4, 1/1 and 2/10, respectively.
Conclusions
Preoperative 3-D CT was a highly sensitive evaluation for the bronchial arteries encountered during transmediastinal esophagectomy. Orthotopic arteries except for LBA were frequently identified at the predicted sites. Although RBA and CTB were present infrequently, they often flowed into regional nodes at the bilateral bronchi or the tracheal bifurcation and, therefore, should be preoperatively evaluated.</description><identifier>ISSN: 1612-9059</identifier><identifier>EISSN: 1612-9067</identifier><identifier>DOI: 10.1007/s10388-018-0609-9</identifier><identifier>PMID: 29951982</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Aged ; Aged, 80 and over ; Bronchial Arteries - diagnostic imaging ; Bronchial Arteries - surgery ; Esophageal Neoplasms - surgery ; Esophagectomy - methods ; Esophagus ; Female ; Gastroenterology ; Humans ; Imaging, Three-Dimensional - methods ; Japan - epidemiology ; Male ; Mediastinoscopy - instrumentation ; Mediastinum - blood supply ; Mediastinum - diagnostic imaging ; Mediastinum - surgery ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Preoperative Care - standards ; Surgical Oncology ; Thoracic Surgery ; Throat surgery ; Tomography, X-Ray Computed - methods ; Video-Assisted Surgery - methods</subject><ispartof>Esophagus : official journal of the Japan Esophageal Society, 2018-07, Vol.15 (3), p.173-179</ispartof><rights>The Japan Esophageal Society and Springer Japan KK, part of Springer Nature 2018</rights><rights>The Japan Esophageal Society and Springer Japan KK, part of Springer Nature 2018.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-c28db58d6e5d4542eeb3cce9825be9334d9f42bef97e683b0188595b8ba25d343</citedby><cites>FETCH-LOGICAL-c462t-c28db58d6e5d4542eeb3cce9825be9334d9f42bef97e683b0188595b8ba25d343</cites><orcidid>0000-0002-9275-3258</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10388-018-0609-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10388-018-0609-9$$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/29951982$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mori, Kazuhiko</creatorcontrib><creatorcontrib>Ino, Kenji</creatorcontrib><creatorcontrib>Yoshimura, Shuntaro</creatorcontrib><creatorcontrib>Aikou, Susumu</creatorcontrib><creatorcontrib>Yagi, Koichi</creatorcontrib><creatorcontrib>Nishida, Masato</creatorcontrib><creatorcontrib>Mitsui, Takashi</creatorcontrib><creatorcontrib>Okumura, Yasuhiro</creatorcontrib><creatorcontrib>Yamagata, Yukinori</creatorcontrib><creatorcontrib>Yamashita, Hiroharu</creatorcontrib><creatorcontrib>Nomura, Sachiyo</creatorcontrib><creatorcontrib>Seto, Yasuyuki</creatorcontrib><title>Mediastinoscopic view of the bronchial arteries in a series of surgical cases evaluated with three-dimensional computed tomography</title><title>Esophagus : official journal of the Japan Esophageal Society</title><addtitle>Esophagus</addtitle><addtitle>Esophagus</addtitle><description>Background
We have routinely performed three-dimensional computed tomography (3-D CT) prior to video-assisted transmediastinal esophagectomy to evaluate the small arteries in the mediastinal operative field. This evaluation would be helpful in performing mediastinoscopic esophagectomy.
Methods
Thirty-one patients who underwent transmediastinal esophagectomy with preoperative evaluations by 3-D CT were the study subject. The bronchial arteries depicted by the 3-D CT were classified by their origin and laterality. In 18 of the 31 cases, the surgical video was available and the identification rate in the video was reviewed for each of the categorized bronchial arteries.
Results
The detection rates of each classified artery were as follows (abbreviations, detection rate); the intercostal-bronchial trunk (IBT, 22/31), the direct left bronchial artery (LBA, 17/31), the common trunk of bronchial arteries (CTB, 7/31), the direct right bronchial artery (RBA, 2/31), and the ectopic arteries (16/31). The ectopic arteries arose from the aortic arch (11 cases), the right subclavian artery (6 cases) or the left subclavian artery (1 case). The identification rates of IBT, LBA, CTB, RBA and any of the ectopic arteries in the video review were 12/13, 4/8, 3/4, 1/1 and 2/10, respectively.
Conclusions
Preoperative 3-D CT was a highly sensitive evaluation for the bronchial arteries encountered during transmediastinal esophagectomy. Orthotopic arteries except for LBA were frequently identified at the predicted sites. Although RBA and CTB were present infrequently, they often flowed into regional nodes at the bilateral bronchi or the tracheal bifurcation and, therefore, should be preoperatively evaluated.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bronchial Arteries - diagnostic imaging</subject><subject>Bronchial Arteries - surgery</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy - methods</subject><subject>Esophagus</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Mediastinoscopy - instrumentation</subject><subject>Mediastinum - blood supply</subject><subject>Mediastinum - diagnostic imaging</subject><subject>Mediastinum - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Preoperative Care - standards</subject><subject>Surgical Oncology</subject><subject>Thoracic Surgery</subject><subject>Throat surgery</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Video-Assisted Surgery - methods</subject><issn>1612-9059</issn><issn>1612-9067</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kctO3TAQhq2qqFDoA7BBlth0E_A1x14i1JtExQbWli-Tc4ySOLUTEFuevD4KpVKlLqwZeb75PeMfoVNKLighm8tCCVeqIbSeluhGv0NHtKWs0aTdvH_LpT5EH0t5IIQzofgHdMi0llQrdoRefkKItsxxTMWnKXr8GOEJpw7PO8Aup9Hvou2xzTPkCAXHEVtc1rxSZcnb6Cvgbak38Gj7xc4Q8FOcd1UjAzQhDjCWmMY9loZp2dfnNKRtttPu-QQddLYv8Ok1HqP7r1_urr83N7ffflxf3TRetGxuPFPBSRVakEFIwQAc9x7qFtKB5lwE3QnmoNMbaBV39VeU1NIpZ5kMXPBj9HnVnXL6tUCZzRCLh763I6SlGEZaKiiTSlb0_B_0IS25zl8poYVUlGhWKbpSPqdSMnRmynGw-dlQYvYGmdUgU0cxe4OMrj1nr8qLGyC8dfxxpAJsBUotjVvIf5_-v-pveSKdsw</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Mori, Kazuhiko</creator><creator>Ino, Kenji</creator><creator>Yoshimura, Shuntaro</creator><creator>Aikou, Susumu</creator><creator>Yagi, Koichi</creator><creator>Nishida, Masato</creator><creator>Mitsui, Takashi</creator><creator>Okumura, Yasuhiro</creator><creator>Yamagata, Yukinori</creator><creator>Yamashita, Hiroharu</creator><creator>Nomura, Sachiyo</creator><creator>Seto, Yasuyuki</creator><general>Springer Japan</general><general>Springer Nature B.V</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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9275-3258</orcidid></search><sort><creationdate>20180701</creationdate><title>Mediastinoscopic view of the bronchial arteries in a series of surgical cases evaluated with three-dimensional computed tomography</title><author>Mori, Kazuhiko ; Ino, Kenji ; Yoshimura, Shuntaro ; Aikou, Susumu ; Yagi, Koichi ; Nishida, Masato ; Mitsui, Takashi ; Okumura, Yasuhiro ; Yamagata, Yukinori ; Yamashita, Hiroharu ; Nomura, Sachiyo ; Seto, Yasuyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-c28db58d6e5d4542eeb3cce9825be9334d9f42bef97e683b0188595b8ba25d343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bronchial Arteries - diagnostic imaging</topic><topic>Bronchial Arteries - surgery</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagectomy - methods</topic><topic>Esophagus</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Mediastinoscopy - instrumentation</topic><topic>Mediastinum - blood supply</topic><topic>Mediastinum - diagnostic imaging</topic><topic>Mediastinum - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Preoperative Care - standards</topic><topic>Surgical Oncology</topic><topic>Thoracic Surgery</topic><topic>Throat surgery</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Video-Assisted Surgery - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mori, Kazuhiko</creatorcontrib><creatorcontrib>Ino, Kenji</creatorcontrib><creatorcontrib>Yoshimura, Shuntaro</creatorcontrib><creatorcontrib>Aikou, Susumu</creatorcontrib><creatorcontrib>Yagi, Koichi</creatorcontrib><creatorcontrib>Nishida, Masato</creatorcontrib><creatorcontrib>Mitsui, Takashi</creatorcontrib><creatorcontrib>Okumura, Yasuhiro</creatorcontrib><creatorcontrib>Yamagata, Yukinori</creatorcontrib><creatorcontrib>Yamashita, Hiroharu</creatorcontrib><creatorcontrib>Nomura, Sachiyo</creatorcontrib><creatorcontrib>Seto, Yasuyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Esophagus : official journal of the Japan Esophageal Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mori, Kazuhiko</au><au>Ino, Kenji</au><au>Yoshimura, Shuntaro</au><au>Aikou, Susumu</au><au>Yagi, Koichi</au><au>Nishida, Masato</au><au>Mitsui, Takashi</au><au>Okumura, Yasuhiro</au><au>Yamagata, Yukinori</au><au>Yamashita, Hiroharu</au><au>Nomura, Sachiyo</au><au>Seto, Yasuyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mediastinoscopic view of the bronchial arteries in a series of surgical cases evaluated with three-dimensional computed tomography</atitle><jtitle>Esophagus : official journal of the Japan Esophageal Society</jtitle><stitle>Esophagus</stitle><addtitle>Esophagus</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>15</volume><issue>3</issue><spage>173</spage><epage>179</epage><pages>173-179</pages><issn>1612-9059</issn><eissn>1612-9067</eissn><abstract>Background
We have routinely performed three-dimensional computed tomography (3-D CT) prior to video-assisted transmediastinal esophagectomy to evaluate the small arteries in the mediastinal operative field. This evaluation would be helpful in performing mediastinoscopic esophagectomy.
Methods
Thirty-one patients who underwent transmediastinal esophagectomy with preoperative evaluations by 3-D CT were the study subject. The bronchial arteries depicted by the 3-D CT were classified by their origin and laterality. In 18 of the 31 cases, the surgical video was available and the identification rate in the video was reviewed for each of the categorized bronchial arteries.
Results
The detection rates of each classified artery were as follows (abbreviations, detection rate); the intercostal-bronchial trunk (IBT, 22/31), the direct left bronchial artery (LBA, 17/31), the common trunk of bronchial arteries (CTB, 7/31), the direct right bronchial artery (RBA, 2/31), and the ectopic arteries (16/31). The ectopic arteries arose from the aortic arch (11 cases), the right subclavian artery (6 cases) or the left subclavian artery (1 case). The identification rates of IBT, LBA, CTB, RBA and any of the ectopic arteries in the video review were 12/13, 4/8, 3/4, 1/1 and 2/10, respectively.
Conclusions
Preoperative 3-D CT was a highly sensitive evaluation for the bronchial arteries encountered during transmediastinal esophagectomy. Orthotopic arteries except for LBA were frequently identified at the predicted sites. Although RBA and CTB were present infrequently, they often flowed into regional nodes at the bilateral bronchi or the tracheal bifurcation and, therefore, should be preoperatively evaluated.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>29951982</pmid><doi>10.1007/s10388-018-0609-9</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-9275-3258</orcidid></addata></record> |
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subjects | Aged Aged, 80 and over Bronchial Arteries - diagnostic imaging Bronchial Arteries - surgery Esophageal Neoplasms - surgery Esophagectomy - methods Esophagus Female Gastroenterology Humans Imaging, Three-Dimensional - methods Japan - epidemiology Male Mediastinoscopy - instrumentation Mediastinum - blood supply Mediastinum - diagnostic imaging Mediastinum - surgery Medicine Medicine & Public Health Middle Aged Original Article Preoperative Care - standards Surgical Oncology Thoracic Surgery Throat surgery Tomography, X-Ray Computed - methods Video-Assisted Surgery - methods |
title | Mediastinoscopic view of the bronchial arteries in a series of surgical cases evaluated with three-dimensional computed tomography |
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