Simultaneous Vascular Reconstruction and Cervical Anastomosis in McKeown Esophagectomy

Lei Chen; Jiaheng Zhang; Donglai Chen; Yonghua Sang; Wentao Yang

doi:10.3389/fsurg.2021.646811

Simultaneous Vascular Reconstruction and Cervical Anastomosis in McKeown Esophagectomy

Front Surg. 2021 Apr 8:8:646811. doi: 10.3389/fsurg.2021.646811. eCollection 2021.

Authors

Lei Chen¹, Jiaheng Zhang¹, Donglai Chen², Yonghua Sang¹, Wentao Yang¹

Affiliations

¹ Department of Thoracic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, China.
² Department of Thoracic Surgery, School of Medicine, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China.

Abstract

A stomach was considered ineligible to be an ideal conduit conventionally if its right gastroepiploic artery (RGEA) were injured. However, both sufficient blood flow and good venous return are crucial to the success of reconstruction. And there lacks robust evidence regarding the surgical techniques of reconstructing RGEA and right gastroepiploic vein (RGEV) and performing cervical anastomosis with gastric conduit simultaneously. Herein, we summarized the key surgical techniques for simultaneous vascular reconstruction and gastric conduit anastomosis in McKeown esophagectomy.

Keywords: McKeown esophagectomy; gastric conduit; right gastroepiploic artery; right gastroepiploic vein; vascular reconstruction.