scholarly journals Neck Dissection and Thoracoscopic Esophagectomy in Esophageal Cancer with Aberrant Subclavian Artery

2017 ◽  
Vol 37 (7) ◽  
2019 ◽  
Vol 39 (6) ◽  
pp. 3203-3205 ◽  
Author(s):  
HIROYUKI KITAGAWA ◽  
JUN IWABU ◽  
KEIICHIRO YOKOTA ◽  
TSUTOMU NAMIKAWA ◽  
KAZUHIRO HANAZAKI

Esophagus ◽  
2013 ◽  
Vol 10 (3) ◽  
pp. 165-169 ◽  
Author(s):  
Jin Teshima ◽  
Go Miyata ◽  
Takashi Kamei ◽  
Toru Nakano ◽  
Shigeo Abe ◽  
...  

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuta Sato ◽  
Yoshihiro Tanaka ◽  
Takeharu Imai ◽  
Yuji Hatanaka ◽  
Naoki Okumura ◽  
...  

Abstract Background Variation of the vertebral artery bifurcation is rare. This branching abnormality can cause unexpected vertebral artery damage and bleeding during thoracoscopic esophagectomy. There are few reports of abnormal branching of the vertebral artery associated with neurosurgery but none related to esophagectomy. We report the case together with the results of the evaluation of vertebral artery bifurcation and length in 50 patients with esophageal cancer in our hospital. Case presentation Thoracoscopic esophagectomy was performed on a 70-year-old patient with esophageal cancer. During lymph node dissection around the right reccurent laryngeal nerve, an unusual blood vessel was found running along the right subclavian artery. We determined this blood vessel to be the right vertebral artery branching far more centrally than usual. Because this anatomical abnormality was clarified, we could then recognize that the right reccurent laryngeal nerve coursed around the right vertebral artery and the right subclavian artery and thus was running in a larger arch than usual. Conclusion Long right vertebral artery may appear in the surgical field of the thoracoscopic esophagectomy. Knowledge of such anatomical variation is important to prevent iatrogenic injury of the right vertebral artery and the right reccurent laryngeal nerve.


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