Transection of the Right Gastroepiploic Artery Does Not Exclude a Gastric Conduit in Ivor-Lewis Esophagectomy

Modesto J Colon; Srinivas Sanjeevi; Raja Flores; Ramachandra Reddy

doi:10.1016/j.athoracsur.2015.03.041

Transection of the Right Gastroepiploic Artery Does Not Exclude a Gastric Conduit in Ivor-Lewis Esophagectomy

Ann Thorac Surg. 2016 Jan;101(1):333-4. doi: 10.1016/j.athoracsur.2015.03.041.

Authors

Modesto J Colon¹, Srinivas Sanjeevi¹, Raja Flores¹, Ramachandra Reddy²

Affiliations

¹ Department of Cardiovascular Surgery, Mount Sinai School of Medicine, New York, New York.
² Department of Cardiovascular Surgery, Mount Sinai School of Medicine, New York, New York. Electronic address: ramachandra.reddy@mountsinai.org.

PMID: 26694268
DOI: 10.1016/j.athoracsur.2015.03.041

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.

Publication types

Case Reports

MeSH terms

Aged
Anastomosis, Surgical / methods
Esophageal Neoplasms / blood supply
Esophageal Neoplasms / diagnosis
Esophageal Neoplasms / surgery*
Esophagectomy / methods*
Female
Gastroepiploic Artery / surgery*
Humans
Laparoscopy / methods*
Positron-Emission Tomography
Stomach / surgery*
Vascular Surgical Procedures / methods*