Surgical treatment of esophageal cancer with anomaly of the aortic arch and its branches
Background Anomalies of the aortic arch and its branches rarely develop. The surgery for esophageal cancer may be challenging with the presence of these anomalies. This study is aimed to analyze the influence of these variations during the esophagectomy. Methods A total of 21 patients with aortic ar...
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| Veröffentlicht in: | Esophagus : official journal of the Japan Esophageal Society 2021-07, Vol.18 (3), p.489-495 |
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| container_title | Esophagus : official journal of the Japan Esophageal Society |
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| creator | Baiwei, Li Liang, Dai Haoyao, Jiang Hong, Yu Yinan, Chen Rong, Hua Bin, Li Yifeng, Sun Keneng, Chen Zhigang, Li |
| description | Background
Anomalies of the aortic arch and its branches rarely develop. The surgery for esophageal cancer may be challenging with the presence of these anomalies. This study is aimed to analyze the influence of these variations during the esophagectomy.
Methods
A total of 21 patients with aortic arch and brachiocephalic vessel variations were retrospectively identified from 2013 to 2019. Anomalies were distributed: 15 patients with left-sided aortic arch combined with aberrant right subclavian artery (LAA + ARSA), 2 right-sided aortic arch with mirror-image arch branches (RAA + MIAB), and 4 right-sided aortic arch combined with aberrant left subclavian artery (RAA + ALSA). Perioperative characteristics and long-term survival were analyzed.
Results
Tumors were mostly located in the upper and middle thorax (42.9% and 47.6%, respectively). Of the 15 patients with LAA + ARSA, 13 underwent McKeown esophagectomy and 2 via transhiatal approach. Left thoracotomy was performed on all 6 patients with RAA. The R0 resection rate was 90.5% (19/21). Recurrent laryngeal nerve (RLN) injury occurred in 2 patients. Two patients died within 30 days postoperatively. Lymph node yield was 23.6 ± 1.2, with a metastasis rate of 38.1% (8/21). The median follow-up time was 18 months. Recurrence occurred in 6 patients (11–35 months) and 4 patients died after recurrence with a median time to death of 21 months (8–47 months).
Conclusion
For resectable esophageal cancer combined with aortic arch and its branches anomalies, satisfactory surgical results can be obtained under careful preoperative evaluation and reasonable surgical approach selection. |
| doi_str_mv | 10.1007/s10388-020-00810-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2486467098</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2486467098</sourcerecordid><originalsourceid>FETCH-LOGICAL-c399t-9195f05897ab55e93af3342202bf4fb3167dc3531efeae17752cf6367dd836673</originalsourceid><addsrcrecordid>eNp9kEtLAzEQx4MoWh9fwIMEvHhZzaNJNkcpvqDgQQVvIZtO2pV91CSL9NubWq3gwctkmPnNfyZ_hE4puaSEqKtICS_LgjBSEFLSHHfQiErKCk2k2t3mQh-gwxjfCOFsXPJ9dMC54EoLPUKvT0OY1842OAWwqYUu4d5jiP1yYeeQ6852DgL-qNMC265vbbNaE2kB2PYh1Q7b4NatGa5TxFXI_ALiMdrztolw8v0eoZfbm-fJfTF9vHuYXE8Lx7VOhaZaeCJKrWwlBGhuPedjxgir_NhXnEo1c_laCh4sUKUEc17yXJ2VXErFj9DFRncZ-vcBYjJtHR00je2gH6LJP5ZjqYguM3r-B33rh9Dl6wwTXFLKlKKZYhvKhT7GAN4sQ93asDKUmLXvZuO7yb6bL98NyUNn39JD1cJsO_JjdAb4Boi51c0h_O7-R_YTehaMag</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2536112771</pqid></control><display><type>article</type><title>Surgical treatment of esophageal cancer with anomaly of the aortic arch and its branches</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Baiwei, Li ; Liang, Dai ; Haoyao, Jiang ; Hong, Yu ; Yinan, Chen ; Rong, Hua ; Bin, Li ; Yifeng, Sun ; Keneng, Chen ; Zhigang, Li</creator><creatorcontrib>Baiwei, Li ; Liang, Dai ; Haoyao, Jiang ; Hong, Yu ; Yinan, Chen ; Rong, Hua ; Bin, Li ; Yifeng, Sun ; Keneng, Chen ; Zhigang, Li</creatorcontrib><description>Background
Anomalies of the aortic arch and its branches rarely develop. The surgery for esophageal cancer may be challenging with the presence of these anomalies. This study is aimed to analyze the influence of these variations during the esophagectomy.
Methods
A total of 21 patients with aortic arch and brachiocephalic vessel variations were retrospectively identified from 2013 to 2019. Anomalies were distributed: 15 patients with left-sided aortic arch combined with aberrant right subclavian artery (LAA + ARSA), 2 right-sided aortic arch with mirror-image arch branches (RAA + MIAB), and 4 right-sided aortic arch combined with aberrant left subclavian artery (RAA + ALSA). Perioperative characteristics and long-term survival were analyzed.
Results
Tumors were mostly located in the upper and middle thorax (42.9% and 47.6%, respectively). Of the 15 patients with LAA + ARSA, 13 underwent McKeown esophagectomy and 2 via transhiatal approach. Left thoracotomy was performed on all 6 patients with RAA. The R0 resection rate was 90.5% (19/21). Recurrent laryngeal nerve (RLN) injury occurred in 2 patients. Two patients died within 30 days postoperatively. Lymph node yield was 23.6 ± 1.2, with a metastasis rate of 38.1% (8/21). The median follow-up time was 18 months. Recurrence occurred in 6 patients (11–35 months) and 4 patients died after recurrence with a median time to death of 21 months (8–47 months).
Conclusion
For resectable esophageal cancer combined with aortic arch and its branches anomalies, satisfactory surgical results can be obtained under careful preoperative evaluation and reasonable surgical approach selection.</description><identifier>ISSN: 1612-9059</identifier><identifier>EISSN: 1612-9067</identifier><identifier>DOI: 10.1007/s10388-020-00810-0</identifier><identifier>PMID: 33537959</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Aorta, Thoracic - surgery ; Cancer surgery ; Cardiovascular Abnormalities ; Coronary vessels ; Deformities ; Esophageal cancer ; Esophageal Neoplasms - surgery ; Esophagus ; Gastroenterology ; Humans ; Medicine ; Medicine & Public Health ; Original Article ; Ostomy ; Retrospective Studies ; Surgical Oncology ; Surgical outcomes ; Surgical techniques ; Thoracic Surgery ; Thorax ; Tumors</subject><ispartof>Esophagus : official journal of the Japan Esophageal Society, 2021-07, Vol.18 (3), p.489-495</ispartof><rights>The Japan Esophageal Society 2021</rights><rights>The Japan Esophageal Society 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-9195f05897ab55e93af3342202bf4fb3167dc3531efeae17752cf6367dd836673</citedby><cites>FETCH-LOGICAL-c399t-9195f05897ab55e93af3342202bf4fb3167dc3531efeae17752cf6367dd836673</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/s10388-020-00810-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10388-020-00810-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33537959$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baiwei, Li</creatorcontrib><creatorcontrib>Liang, Dai</creatorcontrib><creatorcontrib>Haoyao, Jiang</creatorcontrib><creatorcontrib>Hong, Yu</creatorcontrib><creatorcontrib>Yinan, Chen</creatorcontrib><creatorcontrib>Rong, Hua</creatorcontrib><creatorcontrib>Bin, Li</creatorcontrib><creatorcontrib>Yifeng, Sun</creatorcontrib><creatorcontrib>Keneng, Chen</creatorcontrib><creatorcontrib>Zhigang, Li</creatorcontrib><title>Surgical treatment of esophageal cancer with anomaly of the aortic arch and its branches</title><title>Esophagus : official journal of the Japan Esophageal Society</title><addtitle>Esophagus</addtitle><addtitle>Esophagus</addtitle><description>Background
Anomalies of the aortic arch and its branches rarely develop. The surgery for esophageal cancer may be challenging with the presence of these anomalies. This study is aimed to analyze the influence of these variations during the esophagectomy.
Methods
A total of 21 patients with aortic arch and brachiocephalic vessel variations were retrospectively identified from 2013 to 2019. Anomalies were distributed: 15 patients with left-sided aortic arch combined with aberrant right subclavian artery (LAA + ARSA), 2 right-sided aortic arch with mirror-image arch branches (RAA + MIAB), and 4 right-sided aortic arch combined with aberrant left subclavian artery (RAA + ALSA). Perioperative characteristics and long-term survival were analyzed.
Results
Tumors were mostly located in the upper and middle thorax (42.9% and 47.6%, respectively). Of the 15 patients with LAA + ARSA, 13 underwent McKeown esophagectomy and 2 via transhiatal approach. Left thoracotomy was performed on all 6 patients with RAA. The R0 resection rate was 90.5% (19/21). Recurrent laryngeal nerve (RLN) injury occurred in 2 patients. Two patients died within 30 days postoperatively. Lymph node yield was 23.6 ± 1.2, with a metastasis rate of 38.1% (8/21). The median follow-up time was 18 months. Recurrence occurred in 6 patients (11–35 months) and 4 patients died after recurrence with a median time to death of 21 months (8–47 months).
Conclusion
For resectable esophageal cancer combined with aortic arch and its branches anomalies, satisfactory surgical results can be obtained under careful preoperative evaluation and reasonable surgical approach selection.</description><subject>Aorta, Thoracic - surgery</subject><subject>Cancer surgery</subject><subject>Cardiovascular Abnormalities</subject><subject>Coronary vessels</subject><subject>Deformities</subject><subject>Esophageal cancer</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagus</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Ostomy</subject><subject>Retrospective Studies</subject><subject>Surgical Oncology</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><subject>Thoracic Surgery</subject><subject>Thorax</subject><subject>Tumors</subject><issn>1612-9059</issn><issn>1612-9067</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kEtLAzEQx4MoWh9fwIMEvHhZzaNJNkcpvqDgQQVvIZtO2pV91CSL9NubWq3gwctkmPnNfyZ_hE4puaSEqKtICS_LgjBSEFLSHHfQiErKCk2k2t3mQh-gwxjfCOFsXPJ9dMC54EoLPUKvT0OY1842OAWwqYUu4d5jiP1yYeeQ6852DgL-qNMC265vbbNaE2kB2PYh1Q7b4NatGa5TxFXI_ALiMdrztolw8v0eoZfbm-fJfTF9vHuYXE8Lx7VOhaZaeCJKrWwlBGhuPedjxgir_NhXnEo1c_laCh4sUKUEc17yXJ2VXErFj9DFRncZ-vcBYjJtHR00je2gH6LJP5ZjqYguM3r-B33rh9Dl6wwTXFLKlKKZYhvKhT7GAN4sQ93asDKUmLXvZuO7yb6bL98NyUNn39JD1cJsO_JjdAb4Boi51c0h_O7-R_YTehaMag</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Baiwei, Li</creator><creator>Liang, Dai</creator><creator>Haoyao, Jiang</creator><creator>Hong, Yu</creator><creator>Yinan, Chen</creator><creator>Rong, Hua</creator><creator>Bin, Li</creator><creator>Yifeng, Sun</creator><creator>Keneng, Chen</creator><creator>Zhigang, Li</creator><general>Springer Singapore</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>PHGZM</scope><scope>PHGZT</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20210701</creationdate><title>Surgical treatment of esophageal cancer with anomaly of the aortic arch and its branches</title><author>Baiwei, Li ; Liang, Dai ; Haoyao, Jiang ; Hong, Yu ; Yinan, Chen ; Rong, Hua ; Bin, Li ; Yifeng, Sun ; Keneng, Chen ; Zhigang, Li</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-9195f05897ab55e93af3342202bf4fb3167dc3531efeae17752cf6367dd836673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aorta, Thoracic - surgery</topic><topic>Cancer surgery</topic><topic>Cardiovascular Abnormalities</topic><topic>Coronary vessels</topic><topic>Deformities</topic><topic>Esophageal cancer</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagus</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Ostomy</topic><topic>Retrospective Studies</topic><topic>Surgical Oncology</topic><topic>Surgical outcomes</topic><topic>Surgical techniques</topic><topic>Thoracic Surgery</topic><topic>Thorax</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baiwei, Li</creatorcontrib><creatorcontrib>Liang, Dai</creatorcontrib><creatorcontrib>Haoyao, Jiang</creatorcontrib><creatorcontrib>Hong, Yu</creatorcontrib><creatorcontrib>Yinan, Chen</creatorcontrib><creatorcontrib>Rong, Hua</creatorcontrib><creatorcontrib>Bin, Li</creatorcontrib><creatorcontrib>Yifeng, Sun</creatorcontrib><creatorcontrib>Keneng, Chen</creatorcontrib><creatorcontrib>Zhigang, Li</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 Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</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>Baiwei, Li</au><au>Liang, Dai</au><au>Haoyao, Jiang</au><au>Hong, Yu</au><au>Yinan, Chen</au><au>Rong, Hua</au><au>Bin, Li</au><au>Yifeng, Sun</au><au>Keneng, Chen</au><au>Zhigang, Li</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical treatment of esophageal cancer with anomaly of the aortic arch and its branches</atitle><jtitle>Esophagus : official journal of the Japan Esophageal Society</jtitle><stitle>Esophagus</stitle><addtitle>Esophagus</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>18</volume><issue>3</issue><spage>489</spage><epage>495</epage><pages>489-495</pages><issn>1612-9059</issn><eissn>1612-9067</eissn><abstract>Background
Anomalies of the aortic arch and its branches rarely develop. The surgery for esophageal cancer may be challenging with the presence of these anomalies. This study is aimed to analyze the influence of these variations during the esophagectomy.
Methods
A total of 21 patients with aortic arch and brachiocephalic vessel variations were retrospectively identified from 2013 to 2019. Anomalies were distributed: 15 patients with left-sided aortic arch combined with aberrant right subclavian artery (LAA + ARSA), 2 right-sided aortic arch with mirror-image arch branches (RAA + MIAB), and 4 right-sided aortic arch combined with aberrant left subclavian artery (RAA + ALSA). Perioperative characteristics and long-term survival were analyzed.
Results
Tumors were mostly located in the upper and middle thorax (42.9% and 47.6%, respectively). Of the 15 patients with LAA + ARSA, 13 underwent McKeown esophagectomy and 2 via transhiatal approach. Left thoracotomy was performed on all 6 patients with RAA. The R0 resection rate was 90.5% (19/21). Recurrent laryngeal nerve (RLN) injury occurred in 2 patients. Two patients died within 30 days postoperatively. Lymph node yield was 23.6 ± 1.2, with a metastasis rate of 38.1% (8/21). The median follow-up time was 18 months. Recurrence occurred in 6 patients (11–35 months) and 4 patients died after recurrence with a median time to death of 21 months (8–47 months).
Conclusion
For resectable esophageal cancer combined with aortic arch and its branches anomalies, satisfactory surgical results can be obtained under careful preoperative evaluation and reasonable surgical approach selection.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>33537959</pmid><doi>10.1007/s10388-020-00810-0</doi><tpages>7</tpages></addata></record> |
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| ispartof | Esophagus : official journal of the Japan Esophageal Society, 2021-07, Vol.18 (3), p.489-495 |
| issn | 1612-9059 1612-9067 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aorta, Thoracic - surgery Cancer surgery Cardiovascular Abnormalities Coronary vessels Deformities Esophageal cancer Esophageal Neoplasms - surgery Esophagus Gastroenterology Humans Medicine Medicine & Public Health Original Article Ostomy Retrospective Studies Surgical Oncology Surgical outcomes Surgical techniques Thoracic Surgery Thorax Tumors |
| title | Surgical treatment of esophageal cancer with anomaly of the aortic arch and its branches |
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