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
Hauptverfasser: Mori, Kazuhiko, Ino, Kenji, Yoshimura, Shuntaro, Aikou, Susumu, Yagi, Koichi, Nishida, Masato, Mitsui, Takashi, Okumura, Yasuhiro, Yamagata, Yukinori, Yamashita, Hiroharu, Nomura, Sachiyo, Seto, Yasuyuki
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container_issue 3
container_start_page 173
container_title Esophagus : official journal of the Japan Esophageal Society
container_volume 15
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
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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 &amp; 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. 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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 &amp; 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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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