title: Transection of the Right Gastroepiploic Artery Does Not Exclude a Gastric Conduit in Ivor-Lewis Esophagectomy.
abstract: The incidence of esophageal cancer has been steadily increasing in the United States over the past 25 years. Even with standardized surgical techniques, esophagectomy is a complex, multi-phase operation with a wide range of possible complications. The Ivor-Lewis esophagectomy is a commonly used technique where the right gastroepiploic artery (RGEA) becomes the sole source of blood to the stomach. We describe a case of accidental transection of the RGEA which was then re-anastomosed followed by successful use of the gastric conduit. After an acceptable outcome, we suggest that in selected cases anastomosis of the RGEA should be considered.
authors.affiliation: Department of Cardiovascular Surgery, Mount Sinai School of Medicine, New York, New York.
authors.forename: Modesto J
authors.initials: MJ
authors.lastname: Colon
authors.affiliation: Department of Cardiovascular Surgery, Mount Sinai School of Medicine, New York, New York.
authors.forename: Srinivas
authors.initials: S
authors.lastname: Sanjeevi
authors.affiliation: Department of Cardiovascular Surgery, Mount Sinai School of Medicine, New York, New York.
authors.forename: Raja
authors.initials: R
authors.lastname: Flores
authors.affiliation: Department of Cardiovascular Surgery, Mount Sinai School of Medicine, New York, New York. Electronic address: ramachandra.reddy@mountsinai.org.
authors.forename: Ramachandra
authors.initials: R
authors.lastname: Reddy
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D004938:Esophageal Neoplasms / Q000098:blood supply / Q000175:diagnosis / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D005260:Female; D024405:Gastroepiploic Artery / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D049268:Positron-Emission Tomography; D013270:Stomach / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*