Clinical Utility of Three-dimensional Computed Tomography for Esophageal Reconstruction using Colon Interposition after Gastrectomy
スポンサーリンク
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
論文 | ランダム
- Thermal Fluctuation of a Self-Oscillating Reaction System under a Periodic External Force. II : Quasi-Periodic Region
- Analog CMOS Technology (新しい地球環境と豊かなネットワーク社会を生み出す半導体技術) -- (セッション8 先端デバイス技術--限りなき微細化・高機能化への挑戦)
- Value of bone scintigraphy in patients with carpal trauma
- Notes on the Peroxidase Activity of Human Basophil Leukocytes
- 不整脈の新しい見方 (心電図の解読特集)