Clinical Utility of Three-dimensional Computed Tomography for Esophageal Reconstruction using Colon Interposition after Gastrectomy

フォーマット:

論文

責任表示:

Takeyoshi, Izumi ; Toya, Hiroyuki ; Yoshinari, Daisuke ; Sunose, Yutaka ; Totsuka, Osamu ; Ogawa, Hiroomi ; Tsukagoshi, Hiroshi ; Hirai, Keitaro ; Takahashi, Norifumi ; Miyamae, Yohei ; Tanaka, Kazumi

言語:

英語

出版情報:

北関東医学会, 2012-05-01

著者名:

Takeyoshi, Izumi

Toya, Hiroyuki

Yoshinari, Daisuke

Sunose, Yutaka

Totsuka, Osamu

Ogawa, Hiroomi

Tsukagoshi, Hiroshi

Hirai, Keitaro

Takahashi, Norifumi

Miyamae, Yohei

Tanaka, Kazumi

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掲載情報:

The Kitakanto medical journal = 北関東医学

ISSN:

1343-2826      

巻:

62

通号:

2

開始ページ:

143

終了ページ:

146

バージョン:

VoR

概要:

Journal Article<br />Reconstruction after esophagectomy may represent a serious problem when a previous gastric\nresection has been performed. The colon is frequently used, but the marginal artery is of insufficient\ncaliber to maintain the viability of a transposed colon. Three-dimensional computed tomography(3D\n-CT) provides abundant information about a patient’s anatomy without requiring an arterial puncture.\nWe present a case in which … 3D-CT was used. A 68-year-old man who had previously undergone a\ngastrectomy was diagnosed with esophageal cancer.3D-CT showed that the left colic artery was straight\nand long and had a solitary branch from the inferior mesenteric artery. The vascular pedicle of the left\ncolon was found during the operation to be in accord with the 3D-CT evaluation. The patient\nunderwent a transthoracic esophagectomy,followed by reconstruction using left colon interposition. No\nanastomotic leakage or necrosis of the reconstructive colon occurred. 続きを見る