RT Journal Article
SR Electronic
T1 Gastric Tube Reconstruction with Superdrainage Using Indocyanine Green Fluorescence During Esophagectomy
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 1019
OP 1021
VO 31
IS 5
A1 HIROYUKI KITAGAWA
A1 TSUTOMU NAMIKAWA
A1 JUN IWABU
A1 KAZUHIRO HANAZAKI
YR 2017
UL http://iv.iiarjournals.org/content/31/5/1019.abstract
AB We report a case of gastric tube reconstruction with superdrainage using indocyanine green fluorescence during esophagectomy for esophageal cancer. A 53-year-old man with a history of early esophageal cancer treated with endoscopic mucosal dissection experienced esophageal cancer recurrence. There was no evidence of lymph node involvement or distant metastasis on computed tomography; therefore, we performed thoracoscopic esophagectomy. After thoracoscopic esophagectomy, we created a gastric tube. When pulling up the gastric tube through the post-mediastinum route, a root of the right gastroepiploic vein was injured. We subsequently performed superdrainage to avoid congestion of the gastric tube with omental vein and pre-tracheal vein anastomosis at the neck, and confirmed venous flow using the indocyanine green fluorescence method. No postoperative anastomotic leakage was observed, and the patient was discharged 22 days after surgery. Thus, we recommend the indocyanine green fluorescence method in cases involving superdrainage during esophagectomy.