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How to distinguish thoracic and cervical lymph nodes during minimally invasive esophagectomy
PURPOSE: In this article, we aimed to reconstruct the cervical–thoracic junction plane (CTJP) using a three‐dimensional (3D) reconstruction system. Thus, the CTJP can be judged during surgery to better distinguish cervical–thoracic lymph nodes. METHODS: We included patients in Fujian Medical Univers...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons Australia, Ltd
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436676/ https://www.ncbi.nlm.nih.gov/pubmed/35852040 http://dx.doi.org/10.1111/1759-7714.14554 |
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author | Zeng, Taidui Chen, Maohui Cai, Bingqiang Zheng, Wei Xu, Chi Xu, Guobing Chen, Chun Zheng, Bin |
author_facet | Zeng, Taidui Chen, Maohui Cai, Bingqiang Zheng, Wei Xu, Chi Xu, Guobing Chen, Chun Zheng, Bin |
author_sort | Zeng, Taidui |
collection | PubMed |
description | PURPOSE: In this article, we aimed to reconstruct the cervical–thoracic junction plane (CTJP) using a three‐dimensional (3D) reconstruction system. Thus, the CTJP can be judged during surgery to better distinguish cervical–thoracic lymph nodes. METHODS: We included patients in Fujian Medical University Union Hospital from December 2019 to March 2020. All patients underwent a thin‐slice and enhanced computed tomography scan of the chest with 3D reconstruction using the IQQA system (EDDA technology) to reconstruct the CTJP, brachiocephalic trunk, right common carotid artery, and right subclavian artery. The distance from the intersection of the right subclavian artery and the CTJP to the origin of the right subclavian artery (ORSA) was measured, and the relationship between this distance and the patient's sex, BMI and height was analyzed. RESULTS: Seventy‐three patients were enrolled, of whom 12 had ORSA above the CTJP, while 61 had ORSA below the plane. There was a significant difference in age between the two groups (p = 0.04), compared with height, weight and BMI (p > 0.05). In 61 patients with the ORSA below the CTJP, the average distance was 24.7 ± 7.6 mm. The difference between the distance and BMI (p = 0.02) was statistically significant, and it was increased with increasing BMI. CONCLUSIONS: The relationship between the ORSA and CTJP can be clarified through 3D reconstruction. The cervical‐thoracic recurrent laryngeal nerve lymph nodes can be distinguished clearly in minimally invasive esophagectomy, contributing to the accurate N staging of middle‐thoracic esophageal cancer. |
format | Online Article Text |
id | pubmed-9436676 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley & Sons Australia, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-94366762022-09-09 How to distinguish thoracic and cervical lymph nodes during minimally invasive esophagectomy Zeng, Taidui Chen, Maohui Cai, Bingqiang Zheng, Wei Xu, Chi Xu, Guobing Chen, Chun Zheng, Bin Thorac Cancer Original Articles PURPOSE: In this article, we aimed to reconstruct the cervical–thoracic junction plane (CTJP) using a three‐dimensional (3D) reconstruction system. Thus, the CTJP can be judged during surgery to better distinguish cervical–thoracic lymph nodes. METHODS: We included patients in Fujian Medical University Union Hospital from December 2019 to March 2020. All patients underwent a thin‐slice and enhanced computed tomography scan of the chest with 3D reconstruction using the IQQA system (EDDA technology) to reconstruct the CTJP, brachiocephalic trunk, right common carotid artery, and right subclavian artery. The distance from the intersection of the right subclavian artery and the CTJP to the origin of the right subclavian artery (ORSA) was measured, and the relationship between this distance and the patient's sex, BMI and height was analyzed. RESULTS: Seventy‐three patients were enrolled, of whom 12 had ORSA above the CTJP, while 61 had ORSA below the plane. There was a significant difference in age between the two groups (p = 0.04), compared with height, weight and BMI (p > 0.05). In 61 patients with the ORSA below the CTJP, the average distance was 24.7 ± 7.6 mm. The difference between the distance and BMI (p = 0.02) was statistically significant, and it was increased with increasing BMI. CONCLUSIONS: The relationship between the ORSA and CTJP can be clarified through 3D reconstruction. The cervical‐thoracic recurrent laryngeal nerve lymph nodes can be distinguished clearly in minimally invasive esophagectomy, contributing to the accurate N staging of middle‐thoracic esophageal cancer. John Wiley & Sons Australia, Ltd 2022-07-18 2022-09 /pmc/articles/PMC9436676/ /pubmed/35852040 http://dx.doi.org/10.1111/1759-7714.14554 Text en © 2022 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Zeng, Taidui Chen, Maohui Cai, Bingqiang Zheng, Wei Xu, Chi Xu, Guobing Chen, Chun Zheng, Bin How to distinguish thoracic and cervical lymph nodes during minimally invasive esophagectomy |
title | How to distinguish thoracic and cervical lymph nodes during minimally invasive esophagectomy |
title_full | How to distinguish thoracic and cervical lymph nodes during minimally invasive esophagectomy |
title_fullStr | How to distinguish thoracic and cervical lymph nodes during minimally invasive esophagectomy |
title_full_unstemmed | How to distinguish thoracic and cervical lymph nodes during minimally invasive esophagectomy |
title_short | How to distinguish thoracic and cervical lymph nodes during minimally invasive esophagectomy |
title_sort | how to distinguish thoracic and cervical lymph nodes during minimally invasive esophagectomy |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436676/ https://www.ncbi.nlm.nih.gov/pubmed/35852040 http://dx.doi.org/10.1111/1759-7714.14554 |
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