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

概要

論文の詳細を見る
Reconstruction after esophagectomy may represent a serious problem when a previous gastricresection has been performed. The colon is frequently used, but the marginal artery is of insufficientcaliber to maintain the viability of a transposed colon. Three-dimensional computed tomography(3D-CT) provides abundant information about a patient’s anatomy without requiring an arterial puncture.We present a case in which 3D-CT was used. A 68-year-old man who had previously undergone agastrectomy was diagnosed with esophageal cancer.3D-CT showed that the left colic artery was straightand long and had a solitary branch from the inferior mesenteric artery. The vascular pedicle of the leftcolon was found during the operation to be in accord with the 3D-CT evaluation. The patientunderwent a transthoracic esophagectomy,followed by reconstruction using left colon interposition. Noanastomotic leakage or necrosis of the reconstructive colon occurred.
2012-05-01