Abstract:
:Thoracic esophageal cancers frequently metastasize to the right recurrent nerve nodes (RRNNs). In fact, huge RRNNs invading the trachea sometimes remain after definitive chemoradiation therapy (CRT), despite complete remission of the primary lesion. We performed salvage lymphadenectomy of a large RRNN combined with partial resection of the trachea in two patients. Using an anterior approach, we removed part of the sternum, clavicle, and the first and second costal cartilage; then, we removed the RRNNs with combined resection of the lateral quarter circumference of the trachea, the esophageal wall, and the recurrent nerve. Reconstruction was done with a musculocutaneous patch of major pectoral muscle to cover the tracheal defect. The only minor complication was venous thrombosis in one patient. Thus, combined removal of the RRNN and trachea was performed safely as a salvage operation after definitive CRT for esophageal squamous cell carcinoma.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Doki Y,Yasuda T,Miyata H,Fujiwara Y,Takiguchi S,Yamasaki M,Makari Y,Matsuyama J,Masuoka T,Monden Mdoi
10.1007/s00595-006-3447-7subject
Has Abstractpub_date
2007-01-01 00:00:00pages
590-5issue
7eissn
0941-1291issn
1436-2813journal_volume
37pub_type
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