R0 resection has been reported to be an important prognostic factor for the treatment of T4 esophageal cancer, Here, we report a resected case of cervical esophageal cancer with bulky right supraclavicular lymph node metastasis infiltrating the right brachiocephalic trunk. A combined arterial resection of metastatic lymph node with artificial vessel replacement preceded the primary tumor resection because simultaneous resection or reconstruction of the digestive tract could cause a fatal infection at the replaced artificial vessel. R0 resection was eventually achieved without any postoperative infectious complications. In the combined arterial resection of locally advanced esophageal cancer, a two-stage operation with a different surgical field setting might be useful to prevent fatal infection at the replaced artificial vessel.
|ジャーナル||Gan to kagaku ryoho. Cancer & chemotherapy|
|出版ステータス||出版済み - 12月 1 2019|
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