Transection of the Right Gastroepiploic Artery Does Not Exclude a Gastric Conduit in Ivor-Lewis Esophagectomy.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 26694268.
- Also identified by DOI 10.1016/j.athoracsur.2015.03.041.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
The incidence of esophageal cancer has been steadily increasing in the United States over the past 25 years. Even with standardized surgical techniques, esophagectomy is a complex, multi-phase operation with a wide range of possible complications. The Ivor-Lewis esophagectomy is a commonly used technique where the right gastroepiploic artery (RGEA) becomes the sole source of blood to the stomach. We describe a case of accidental transection of the RGEA which was then re-anastomosed followed by successful use of the gastric conduit. After an acceptable outcome, we suggest that in selected cases anastomosis of the RGEA should be considered.
Medical subject headings
- Esophageal Neoplasms
- Esophagectomy
- Gastroepiploic Artery
- Laparoscopy
- Stomach
- Vascular Surgical Procedures