Successful video-assisted thoracoscopic surgery in prone position in patients with esophageal cancer and aberrant right subclavian artery: report of three cases
Abstract Background An aberrant right subclavian artery (ARSA) with an associated nonrecurrent right inferior laryngeal nerve (NRILN) is a relatively rare anomaly that occurs at a frequency of 0.3 to 2.0% of the general population. NRILN has been mainly documented in the head and neck region; it has...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2017-07-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-017-0360-9 |
| _version_ | 1818041517509443584 |
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| author | Koji Shindo Eishi Nagai Toshinaga Nabae Toru Eguchi Taiki Moriyama Kenoki Ohuchida Tatsuya Manabe Takao Ohtsuka Yoshinao Oda Makoto Hashizume Masafumi Nakamura |
| author_facet | Koji Shindo Eishi Nagai Toshinaga Nabae Toru Eguchi Taiki Moriyama Kenoki Ohuchida Tatsuya Manabe Takao Ohtsuka Yoshinao Oda Makoto Hashizume Masafumi Nakamura |
| author_sort | Koji Shindo |
| collection | DOAJ |
| description | Abstract Background An aberrant right subclavian artery (ARSA) with an associated nonrecurrent right inferior laryngeal nerve (NRILN) is a relatively rare anomaly that occurs at a frequency of 0.3 to 2.0% of the general population. NRILN has been mainly documented in the head and neck region; it has been rarely described in patients with esophageal cancer, especially those undergoing thoracoscopic surgery. Video-assisted thoracoscopic surgery for esophageal cancer (VATS-E) is becoming more widespread as a reliable minimally invasive surgical procedure associated with reduced perioperative complications. Case presentation Herein, we report three cases of esophageal cancer with ARSA and NRILN which underwent successful VATS-E. Case 1, a 53-year-old male who had early stage esophageal cancer was performed VATS-E. Upper gastrointestinal (GI) series showed “Bayonet sign” (T1aN0M0, pStageIA in UICC). Case 2, a 75-year-old male who had advanced esophageal cancer was performed neoadjuvant chemotherapy and following VATS-E. This case had right thoracic duct and “Bayonet sign” on upper GI series (T1bN2M0, pStage IIIA in UICC). Case3, a 72-year-old male who had advanced esophageal cancer was performed neoadjuvant chemotherapy and following VATS-E (T3N2M0, pStageIIIB in UICC). All of these three cases were performed VATS-E and discharged without any complication. Conclusion VATS-E in the prone position is a feasible procedure that can reduce the risk of complications with an enlarged and clear view, and knowledge of this type of anomaly is very important for surgeons who perform esophagectomy. |
| first_indexed | 2024-12-10T08:31:41Z |
| format | Article |
| id | doaj.art-b2b2fcd08b5d4f478646d975d236ae79 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-10T08:31:41Z |
| publishDate | 2017-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-b2b2fcd08b5d4f478646d975d236ae792022-12-22T01:56:04ZengSpringerOpenSurgical Case Reports2198-77932017-07-01311710.1186/s40792-017-0360-9Successful video-assisted thoracoscopic surgery in prone position in patients with esophageal cancer and aberrant right subclavian artery: report of three casesKoji Shindo0Eishi Nagai1Toshinaga Nabae2Toru Eguchi3Taiki Moriyama4Kenoki Ohuchida5Tatsuya Manabe6Takao Ohtsuka7Yoshinao Oda8Makoto Hashizume9Masafumi Nakamura10Departments of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu UniversityDepartments of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery, Japan Community Health care Organization (JCHO) Kyushu HospitalDepartment of Surgery, Harasanshin HospitalDepartments of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu UniversityDepartments of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu UniversityDepartments of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu UniversityDepartments of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu UniversityCenter for Advanced Medical Innovation, Graduate School of Medical Sciences, Kyushu UniversityDepartments of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu UniversityAbstract Background An aberrant right subclavian artery (ARSA) with an associated nonrecurrent right inferior laryngeal nerve (NRILN) is a relatively rare anomaly that occurs at a frequency of 0.3 to 2.0% of the general population. NRILN has been mainly documented in the head and neck region; it has been rarely described in patients with esophageal cancer, especially those undergoing thoracoscopic surgery. Video-assisted thoracoscopic surgery for esophageal cancer (VATS-E) is becoming more widespread as a reliable minimally invasive surgical procedure associated with reduced perioperative complications. Case presentation Herein, we report three cases of esophageal cancer with ARSA and NRILN which underwent successful VATS-E. Case 1, a 53-year-old male who had early stage esophageal cancer was performed VATS-E. Upper gastrointestinal (GI) series showed “Bayonet sign” (T1aN0M0, pStageIA in UICC). Case 2, a 75-year-old male who had advanced esophageal cancer was performed neoadjuvant chemotherapy and following VATS-E. This case had right thoracic duct and “Bayonet sign” on upper GI series (T1bN2M0, pStage IIIA in UICC). Case3, a 72-year-old male who had advanced esophageal cancer was performed neoadjuvant chemotherapy and following VATS-E (T3N2M0, pStageIIIB in UICC). All of these three cases were performed VATS-E and discharged without any complication. Conclusion VATS-E in the prone position is a feasible procedure that can reduce the risk of complications with an enlarged and clear view, and knowledge of this type of anomaly is very important for surgeons who perform esophagectomy.http://link.springer.com/article/10.1186/s40792-017-0360-9Video-assisted thoracoscopic surgeryProne positionAberrant right subclavian arteryNonrecurrent right inferior laryngeal nerveEsophageal cancer |
| spellingShingle | Koji Shindo Eishi Nagai Toshinaga Nabae Toru Eguchi Taiki Moriyama Kenoki Ohuchida Tatsuya Manabe Takao Ohtsuka Yoshinao Oda Makoto Hashizume Masafumi Nakamura Successful video-assisted thoracoscopic surgery in prone position in patients with esophageal cancer and aberrant right subclavian artery: report of three cases Surgical Case Reports Video-assisted thoracoscopic surgery Prone position Aberrant right subclavian artery Nonrecurrent right inferior laryngeal nerve Esophageal cancer |
| title | Successful video-assisted thoracoscopic surgery in prone position in patients with esophageal cancer and aberrant right subclavian artery: report of three cases |
| title_full | Successful video-assisted thoracoscopic surgery in prone position in patients with esophageal cancer and aberrant right subclavian artery: report of three cases |
| title_fullStr | Successful video-assisted thoracoscopic surgery in prone position in patients with esophageal cancer and aberrant right subclavian artery: report of three cases |
| title_full_unstemmed | Successful video-assisted thoracoscopic surgery in prone position in patients with esophageal cancer and aberrant right subclavian artery: report of three cases |
| title_short | Successful video-assisted thoracoscopic surgery in prone position in patients with esophageal cancer and aberrant right subclavian artery: report of three cases |
| title_sort | successful video assisted thoracoscopic surgery in prone position in patients with esophageal cancer and aberrant right subclavian artery report of three cases |
| topic | Video-assisted thoracoscopic surgery Prone position Aberrant right subclavian artery Nonrecurrent right inferior laryngeal nerve Esophageal cancer |
| url | http://link.springer.com/article/10.1186/s40792-017-0360-9 |
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