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YAMAGUCHI SHIGEKI
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Professor and Division head |
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| Article types | Original article |
| Language | English |
| Peer review | Non peer reviewed |
| Title | Superdrainage Using the Cephalic Vein Due to Unsuitable Internal Thoracic Vein for Microvascular Anastomosis in Esophageal Reconstruction Using Pedicled Jejunum. |
| Journal | Formal name：Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Abbreviation：Ann Thorac Cardiovasc Surg ISSN code：21861005/13411098 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 27(5),pp.322-326 |
| Author and coauthor | Miyawaki Yutaka, Sato Hiroshi, Yokogawa Hideki, Sakuramoto Shinichi, Okamoto Kojun, Yamaguchi Shigeki, Koyama Isamu |
| Publication date | 2021/10 |
| Summary | The progress and popularization of microvascular surgical techniques may improve the outcomes of esophageal reconstruction using non-gastric tube (GT) grafts. A pedicled jejunum (PJ) with microvascular anastomoses is frequently selected as a reconstructed conduit for esophageal reconstruction when the GT is unavailable, and the internal thoracic (IT) vein is frequently selected as a recipient blood vessel for microvascular anastomosis. However, the IT vein may be inadequate for microvascular anastomosis because of its absence or underdevelopment. Since it is difficult to preoperatively predict such rare cases, it becomes necessary to urgently and rapidly prepare an alternative blood vessel. Herein, we present surgical procedures for superdrainage using the cephalic vein (CeV). Due the superficial nature of the CeV, it is both easy to identify and collect sufficient length. Thus, the CeV is very useful as an urgent substitute blood vessel when the IT vein is unavailable for microvascular anastomosis in esophageal reconstruction. |
| DOI | 10.5761/atcs.cr.19-00041 |
| PMID | 31092745 |