A Report of the Case with Thoracic Esophageal Cancer with Concomitant Large Lymph Node Metastasis in the Right Neck Treated by Esophagectomy, Resection and Reconstruction of Major Cervical Blood Vessels

Masanori Nakamura, Kagami Nagai, Tomoyuki Nara, Haruhiro Inoue, Tatsuyuki Kawano, Kunihide Yoshino, Yoshinori Inoue, Takehisa Iwai, Mitsuo Endo

The First Department of Surgery, Tokyo Medical and Dental University School of Medicine

A 43-year-old male had an esophageal cancer in the middle third of the thoracic esophagus with concomitant large lymph node metastasis in the right neck involving the brachiocephalic artery and vein, the subclavian artery and vein, the carotid artery and the internal jugular vein. A radical esophagectomy was carried out after two courses of pre-operative chemotherapy. All involved arteries and veins were resected with the large lymph node metastasis under a temporary Javid shunt and reconstructions were accomplished. The post operative course was uneventful and no neurological disorders were noted. The patient died due a recurrence in the mediastinum while no recurrent lesions were noted in the neck. These results suggest the applicability of surgical treatment for patients with esophageal cancer and lymph node metastasis involving major veins and arteries.

Key words
esophageal cancer, resection and reconstruction of vesseles, lymphnode disssection

Reprint requests
Masanori Nakamura The First Department of Surgery, Tokyo Medical and Dental University School of Medicine
1-5-45 Yushima, Bunkyo-ku, Tokyo, 113 JAPAN

Accepted
March 19, 1997

To read the PDF file you will need Abobe Reader installed on your computer.