title: Successful resection of esophageal cancer with right aortic arch by video-assisted thoracoscopic surgery: a case report.
abstract: The right aortic arch (RAA) forms a vascular ring, encircling both the esophagus and trachea. We herein report a case of thoracic esophageal cancer with RAA successfully resected using video-assisted thoracoscopic surgery (VATS). A 64-year-old man who presented with a complaint of abdominal pain, was admitted to our hospital. Further examinations revealed gall stones and multiple superficial esophageal carcinomas. Three-dimensional computed tomographic images showed RAA and aortic diverticulum. The trachea and esophagus were completely encircled by the RAA, the aortic diverticulum and the pulmonary artery. We successfully and safely performed VATS esophagectomy for esophageal cancer accompanied with RAA. To the best of our knowledge, this report is the first case for which VATS esophagectomy for esophageal cancer, accompanied with RAA, was carried out. Marking of the left recurrent laryngeal nerve with colored tape at the cervical part of the surgery made it easy to identify it during the thoracoscopic part of the surgery.
authors.affiliation: Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka Japan. k-naoshi@med.osaka-cu.ac.jp
authors.forename: Naoshi
authors.initials: N
authors.lastname: Kubo
authors.forename: Masaichi
authors.initials: M
authors.lastname: Ohira
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Lee
authors.forename: Katsunobu
authors.initials: K
authors.lastname: Sakurai
authors.forename: Takahiro
authors.initials: T
authors.lastname: Toyokawa
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Tanaka
authors.forename: Kazuya
authors.initials: K
authors.lastname: Muguruma
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Kimura
authors.forename: Hisashi
authors.initials: H
authors.lastname: Nagahara
authors.forename: Eiji
authors.initials: E
authors.lastname: Noda
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Amano
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ohtani
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Masakazu
authors.initials: M
authors.lastname: Yashiro
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Maeda
authors.forename: Kosei
authors.initials: K
authors.lastname: Hirakawa
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy; D004947:Esophagus / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012009:Recurrent Laryngeal Nerve / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery