Erschienen in:
01.01.2011 | GI Image
Radical Esophagectomy for a Patient with Reversed Intestinal Rotation and Complicated Vascular Anomalies in the Abdomen
verfasst von:
Isamu Makino, Itasu Ninomiya, Takashi Fujimura, Jun Kinoshita, Keishi Nakamura, Katsunobu Oyama, Hideto Fujita, Sachio Fushida, Masato Kayahara, Tetsuo Ohta
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 1/2011
Einloggen, um Zugang zu erhalten
Abstract
We report a patient of lower esophageal carcinoma with reversed intestinal rotation and major vascular anomalies including pre-duodenal pre-pancreatic portal vein, absence of the confluence of the splenic vein with the superior mesenteric vein, and deficiency of the common hepatic artery. We performed subtotal esophagectomy with three-field lymphadenectomy following reconstruction with the stomach. The postoperative course was uneventful. This might be the first case that had such complicated anatomical anomalies and radical esophagectomy was performed. As we had preoperatively recognized these anatomical anomalies on radiographic examinations, we could successfully perform esophagectomy and reconstruction without any complications.