title: Anatomically based comparison of the different transthoracic routes for colon ascension after total esogastrectomy.
abstract: Colon interposition is the method of choice to restore the digestive tract after esogastrectomy. The aim of this study was to compare the length of the four available routes for colon transposition (posterior mediastinum route, transpleural route, substernal route and subcutaneous route) and to achieve a specific evaluation of the transpleural route. Our study was conducted with anatomical (dissection) and radiological (2D CT scan reconstructions) protocols. For both, the posterior mediastinum route was always the shortest way and the subcutaneous route was always the longest. For the anatomical results, the transpleural route and the substernal route were similar in terms of length and for the radiological study, the transpleural route was shorter than the substernal route (P < 0.001) and shorter than the subcutaneous route (P < 0.001). We demonstrated that the transpleural route was acceptable for colon transposition in term of length, and could be an alternative when the substernal route is unavailable.
authors.affiliation: Department of Anatomy, Faculty of Medicine, University of Nancy, Allée du Morvan, Vandoeuvre les Nancy, Nancy, France. manuela.perez@free.fr
authors.forename: Manuela
authors.initials: M
authors.lastname: Perez
authors.forename: Thierry
authors.initials: T
authors.lastname: Haumont
authors.forename: Jean Michel
authors.initials: JM
authors.lastname: Arnoux
authors.forename: Imen
authors.initials: I
authors.lastname: Redjaimia
authors.forename: Nathalie
authors.initials: N
authors.lastname: Rouard
authors.forename: Alain
authors.initials: A
authors.lastname: Blum
authors.forename: Nicolas
authors.initials: N
authors.lastname: Reibel
authors.forename: Nicolas
authors.initials: N
authors.lastname: Jay
authors.forename: Marc
authors.initials: M
authors.lastname: Braun
authors.forename: Gilles
authors.initials: G
authors.lastname: Grosdidier
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003106:Colon / Q000637:transplantation*; D016629:Esophagectomy; D004947:Esophagus / Q000000981:diagnostic imaging; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D055815:Young Adult