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Yusuke Kinugasa - One of the best experts on this subject based on the ideXlab platform.
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The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option
General Thoracic and Cardiovascular Surgery, 2019Co-Authors: Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Toshihiro Matsui, Kagami Nagai, Tatsuyuki Kawano, Yusuke KinugasaAbstract:Objective We investigated the merits and demerits of right cervical open surgery with right trans-cervical pneumomediastinal approach in mediastinoscopic esophagectomy. Methods Ten thoracic esophageal cancer patients were treated using this approach. Under pneumomediastinum via a right neck incision, the right cervical and upper mediastinal paraesophageal Lymph Nodes were dissected. The left recurrent nerve Lymph Nodes were dissected using a left trans-cervical pneumomediastinal approach. The subaortic arch to the left Tracheobronchial Lymph Nodes was dissected with a combined right and left trans-cervical crossover approach. Results The average number of dissected Lymph Nodes among the right cervical and upper mediastinal paraesophageal Lymph Nodes identified with a right cervical open/right trans-cervical mediastinoscopic/right thoracoscopic approach was 3.2/4.0/0.6, respectively. The average number of dissected Lymph Nodes among the subaortic arch to the left Tracheobronchial Lymph Nodes with a right trans-cervical mediastinoscopic/right thoracoscopic approach was 1.5/0.6, respectively. These findings indicate that, without using the right trans-cervical pneumomediastinal approach, it might be impossible to successfully remove some of the right cervical and upper mediastinal paraesophageal Lymph Nodes and the subaortic arch to the left Tracheobronchial Lymph Nodes Lymph Nodes. Regarding surgical complications, one case of bilateral recurrent nerve palsy as well as two cases on the right and two cases on the left were noted. Conclusions Although the rate of recurrent nerve palsy should still be reduced, a bilateral (especially right-sided) trans-cervical pneumomediastinal approach is an available option for achieving sufficient upper mediastinal Lymph node dissection and esophagectomy.
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The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option.
General thoracic and cardiovascular surgery, 2019Co-Authors: Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Toshihiro Matsui, Kagami Nagai, Tatsuyuki Kawano, Yusuke KinugasaAbstract:We investigated the merits and demerits of right cervical open surgery with right trans-cervical pneumomediastinal approach in mediastinoscopic esophagectomy. Ten thoracic esophageal cancer patients were treated using this approach. Under pneumomediastinum via a right neck incision, the right cervical and upper mediastinal paraesophageal Lymph Nodes were dissected. The left recurrent nerve Lymph Nodes were dissected using a left trans-cervical pneumomediastinal approach. The subaortic arch to the left Tracheobronchial Lymph Nodes was dissected with a combined right and left trans-cervical crossover approach. The average number of dissected Lymph Nodes among the right cervical and upper mediastinal paraesophageal Lymph Nodes identified with a right cervical open/right trans-cervical mediastinoscopic/right thoracoscopic approach was 3.2/4.0/0.6, respectively. The average number of dissected Lymph Nodes among the subaortic arch to the left Tracheobronchial Lymph Nodes with a right trans-cervical mediastinoscopic/right thoracoscopic approach was 1.5/0.6, respectively. These findings indicate that, without using the right trans-cervical pneumomediastinal approach, it might be impossible to successfully remove some of the right cervical and upper mediastinal paraesophageal Lymph Nodes and the subaortic arch to the left Tracheobronchial Lymph Nodes Lymph Nodes. Regarding surgical complications, one case of bilateral recurrent nerve palsy as well as two cases on the right and two cases on the left were noted. Although the rate of recurrent nerve palsy should still be reduced, a bilateral (especially right-sided) trans-cervical pneumomediastinal approach is an available option for achieving sufficient upper mediastinal Lymph node dissection and esophagectomy.
Yutaka Tokairin - One of the best experts on this subject based on the ideXlab platform.
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The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option
General Thoracic and Cardiovascular Surgery, 2019Co-Authors: Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Toshihiro Matsui, Kagami Nagai, Tatsuyuki Kawano, Yusuke KinugasaAbstract:Objective We investigated the merits and demerits of right cervical open surgery with right trans-cervical pneumomediastinal approach in mediastinoscopic esophagectomy. Methods Ten thoracic esophageal cancer patients were treated using this approach. Under pneumomediastinum via a right neck incision, the right cervical and upper mediastinal paraesophageal Lymph Nodes were dissected. The left recurrent nerve Lymph Nodes were dissected using a left trans-cervical pneumomediastinal approach. The subaortic arch to the left Tracheobronchial Lymph Nodes was dissected with a combined right and left trans-cervical crossover approach. Results The average number of dissected Lymph Nodes among the right cervical and upper mediastinal paraesophageal Lymph Nodes identified with a right cervical open/right trans-cervical mediastinoscopic/right thoracoscopic approach was 3.2/4.0/0.6, respectively. The average number of dissected Lymph Nodes among the subaortic arch to the left Tracheobronchial Lymph Nodes with a right trans-cervical mediastinoscopic/right thoracoscopic approach was 1.5/0.6, respectively. These findings indicate that, without using the right trans-cervical pneumomediastinal approach, it might be impossible to successfully remove some of the right cervical and upper mediastinal paraesophageal Lymph Nodes and the subaortic arch to the left Tracheobronchial Lymph Nodes Lymph Nodes. Regarding surgical complications, one case of bilateral recurrent nerve palsy as well as two cases on the right and two cases on the left were noted. Conclusions Although the rate of recurrent nerve palsy should still be reduced, a bilateral (especially right-sided) trans-cervical pneumomediastinal approach is an available option for achieving sufficient upper mediastinal Lymph node dissection and esophagectomy.
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The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option.
General thoracic and cardiovascular surgery, 2019Co-Authors: Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Toshihiro Matsui, Kagami Nagai, Tatsuyuki Kawano, Yusuke KinugasaAbstract:We investigated the merits and demerits of right cervical open surgery with right trans-cervical pneumomediastinal approach in mediastinoscopic esophagectomy. Ten thoracic esophageal cancer patients were treated using this approach. Under pneumomediastinum via a right neck incision, the right cervical and upper mediastinal paraesophageal Lymph Nodes were dissected. The left recurrent nerve Lymph Nodes were dissected using a left trans-cervical pneumomediastinal approach. The subaortic arch to the left Tracheobronchial Lymph Nodes was dissected with a combined right and left trans-cervical crossover approach. The average number of dissected Lymph Nodes among the right cervical and upper mediastinal paraesophageal Lymph Nodes identified with a right cervical open/right trans-cervical mediastinoscopic/right thoracoscopic approach was 3.2/4.0/0.6, respectively. The average number of dissected Lymph Nodes among the subaortic arch to the left Tracheobronchial Lymph Nodes with a right trans-cervical mediastinoscopic/right thoracoscopic approach was 1.5/0.6, respectively. These findings indicate that, without using the right trans-cervical pneumomediastinal approach, it might be impossible to successfully remove some of the right cervical and upper mediastinal paraesophageal Lymph Nodes and the subaortic arch to the left Tracheobronchial Lymph Nodes Lymph Nodes. Regarding surgical complications, one case of bilateral recurrent nerve palsy as well as two cases on the right and two cases on the left were noted. Although the rate of recurrent nerve palsy should still be reduced, a bilateral (especially right-sided) trans-cervical pneumomediastinal approach is an available option for achieving sufficient upper mediastinal Lymph node dissection and esophagectomy.
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Mediastinoscopic Subaortic and Tracheobronchial Lymph Node Dissection With a New Cervico-Hiatal Crossover Approach in Thiel-Embalmed Cadavers
International surgery, 2015Co-Authors: Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Kagami Nagai, Hisashi Fujiwara, Taichi Ogo, Masafumi Okuda, Yutaka Miyawaki, Hisayo Nasu, Keiichi AkitaAbstract:The use of mediastinal surgery for minimally invasive esophagectomy (MIE) has been proposed; however, this method is not performed as radical surgery because it has been thought to be impossible to perform complete upper mediastinal dissection, including the left Tracheobronchial Lymph Nodes (106tbL). We herein describe a new method for performing complete dissection of the upper mediastinum. We developed a method for performing complete mediastinoscopic esophagectomy as radical surgery via the bilateral transcervical and transhiatal approach in 6 Thiel-embalmed human cadavers. The lower and middle mediastinal Lymph Nodes are dissected via the transhiatal approach. The dorsal side of the left recurrent nerve is dissected up to the aortic arch and left recurrent nerve Lymph Nodes (106recL) are dissected under pneumomediastinum. Next, the right recurrent nerve Lymph Nodes (106recR) are dissected. The cartilage of the left main bronchus is dissected and pushed downward, thereby obtaining a good view between ...
Tatsuyuki Kawano - One of the best experts on this subject based on the ideXlab platform.
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The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option
General Thoracic and Cardiovascular Surgery, 2019Co-Authors: Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Toshihiro Matsui, Kagami Nagai, Tatsuyuki Kawano, Yusuke KinugasaAbstract:Objective We investigated the merits and demerits of right cervical open surgery with right trans-cervical pneumomediastinal approach in mediastinoscopic esophagectomy. Methods Ten thoracic esophageal cancer patients were treated using this approach. Under pneumomediastinum via a right neck incision, the right cervical and upper mediastinal paraesophageal Lymph Nodes were dissected. The left recurrent nerve Lymph Nodes were dissected using a left trans-cervical pneumomediastinal approach. The subaortic arch to the left Tracheobronchial Lymph Nodes was dissected with a combined right and left trans-cervical crossover approach. Results The average number of dissected Lymph Nodes among the right cervical and upper mediastinal paraesophageal Lymph Nodes identified with a right cervical open/right trans-cervical mediastinoscopic/right thoracoscopic approach was 3.2/4.0/0.6, respectively. The average number of dissected Lymph Nodes among the subaortic arch to the left Tracheobronchial Lymph Nodes with a right trans-cervical mediastinoscopic/right thoracoscopic approach was 1.5/0.6, respectively. These findings indicate that, without using the right trans-cervical pneumomediastinal approach, it might be impossible to successfully remove some of the right cervical and upper mediastinal paraesophageal Lymph Nodes and the subaortic arch to the left Tracheobronchial Lymph Nodes Lymph Nodes. Regarding surgical complications, one case of bilateral recurrent nerve palsy as well as two cases on the right and two cases on the left were noted. Conclusions Although the rate of recurrent nerve palsy should still be reduced, a bilateral (especially right-sided) trans-cervical pneumomediastinal approach is an available option for achieving sufficient upper mediastinal Lymph node dissection and esophagectomy.
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The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option.
General thoracic and cardiovascular surgery, 2019Co-Authors: Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Toshihiro Matsui, Kagami Nagai, Tatsuyuki Kawano, Yusuke KinugasaAbstract:We investigated the merits and demerits of right cervical open surgery with right trans-cervical pneumomediastinal approach in mediastinoscopic esophagectomy. Ten thoracic esophageal cancer patients were treated using this approach. Under pneumomediastinum via a right neck incision, the right cervical and upper mediastinal paraesophageal Lymph Nodes were dissected. The left recurrent nerve Lymph Nodes were dissected using a left trans-cervical pneumomediastinal approach. The subaortic arch to the left Tracheobronchial Lymph Nodes was dissected with a combined right and left trans-cervical crossover approach. The average number of dissected Lymph Nodes among the right cervical and upper mediastinal paraesophageal Lymph Nodes identified with a right cervical open/right trans-cervical mediastinoscopic/right thoracoscopic approach was 3.2/4.0/0.6, respectively. The average number of dissected Lymph Nodes among the subaortic arch to the left Tracheobronchial Lymph Nodes with a right trans-cervical mediastinoscopic/right thoracoscopic approach was 1.5/0.6, respectively. These findings indicate that, without using the right trans-cervical pneumomediastinal approach, it might be impossible to successfully remove some of the right cervical and upper mediastinal paraesophageal Lymph Nodes and the subaortic arch to the left Tracheobronchial Lymph Nodes Lymph Nodes. Regarding surgical complications, one case of bilateral recurrent nerve palsy as well as two cases on the right and two cases on the left were noted. Although the rate of recurrent nerve palsy should still be reduced, a bilateral (especially right-sided) trans-cervical pneumomediastinal approach is an available option for achieving sufficient upper mediastinal Lymph node dissection and esophagectomy.
Tairo Ryotokuji - One of the best experts on this subject based on the ideXlab platform.
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The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option
General Thoracic and Cardiovascular Surgery, 2019Co-Authors: Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Toshihiro Matsui, Kagami Nagai, Tatsuyuki Kawano, Yusuke KinugasaAbstract:Objective We investigated the merits and demerits of right cervical open surgery with right trans-cervical pneumomediastinal approach in mediastinoscopic esophagectomy. Methods Ten thoracic esophageal cancer patients were treated using this approach. Under pneumomediastinum via a right neck incision, the right cervical and upper mediastinal paraesophageal Lymph Nodes were dissected. The left recurrent nerve Lymph Nodes were dissected using a left trans-cervical pneumomediastinal approach. The subaortic arch to the left Tracheobronchial Lymph Nodes was dissected with a combined right and left trans-cervical crossover approach. Results The average number of dissected Lymph Nodes among the right cervical and upper mediastinal paraesophageal Lymph Nodes identified with a right cervical open/right trans-cervical mediastinoscopic/right thoracoscopic approach was 3.2/4.0/0.6, respectively. The average number of dissected Lymph Nodes among the subaortic arch to the left Tracheobronchial Lymph Nodes with a right trans-cervical mediastinoscopic/right thoracoscopic approach was 1.5/0.6, respectively. These findings indicate that, without using the right trans-cervical pneumomediastinal approach, it might be impossible to successfully remove some of the right cervical and upper mediastinal paraesophageal Lymph Nodes and the subaortic arch to the left Tracheobronchial Lymph Nodes Lymph Nodes. Regarding surgical complications, one case of bilateral recurrent nerve palsy as well as two cases on the right and two cases on the left were noted. Conclusions Although the rate of recurrent nerve palsy should still be reduced, a bilateral (especially right-sided) trans-cervical pneumomediastinal approach is an available option for achieving sufficient upper mediastinal Lymph node dissection and esophagectomy.
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The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option.
General thoracic and cardiovascular surgery, 2019Co-Authors: Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Toshihiro Matsui, Kagami Nagai, Tatsuyuki Kawano, Yusuke KinugasaAbstract:We investigated the merits and demerits of right cervical open surgery with right trans-cervical pneumomediastinal approach in mediastinoscopic esophagectomy. Ten thoracic esophageal cancer patients were treated using this approach. Under pneumomediastinum via a right neck incision, the right cervical and upper mediastinal paraesophageal Lymph Nodes were dissected. The left recurrent nerve Lymph Nodes were dissected using a left trans-cervical pneumomediastinal approach. The subaortic arch to the left Tracheobronchial Lymph Nodes was dissected with a combined right and left trans-cervical crossover approach. The average number of dissected Lymph Nodes among the right cervical and upper mediastinal paraesophageal Lymph Nodes identified with a right cervical open/right trans-cervical mediastinoscopic/right thoracoscopic approach was 3.2/4.0/0.6, respectively. The average number of dissected Lymph Nodes among the subaortic arch to the left Tracheobronchial Lymph Nodes with a right trans-cervical mediastinoscopic/right thoracoscopic approach was 1.5/0.6, respectively. These findings indicate that, without using the right trans-cervical pneumomediastinal approach, it might be impossible to successfully remove some of the right cervical and upper mediastinal paraesophageal Lymph Nodes and the subaortic arch to the left Tracheobronchial Lymph Nodes Lymph Nodes. Regarding surgical complications, one case of bilateral recurrent nerve palsy as well as two cases on the right and two cases on the left were noted. Although the rate of recurrent nerve palsy should still be reduced, a bilateral (especially right-sided) trans-cervical pneumomediastinal approach is an available option for achieving sufficient upper mediastinal Lymph node dissection and esophagectomy.
Takuya Okada - One of the best experts on this subject based on the ideXlab platform.
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The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option
General Thoracic and Cardiovascular Surgery, 2019Co-Authors: Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Toshihiro Matsui, Kagami Nagai, Tatsuyuki Kawano, Yusuke KinugasaAbstract:Objective We investigated the merits and demerits of right cervical open surgery with right trans-cervical pneumomediastinal approach in mediastinoscopic esophagectomy. Methods Ten thoracic esophageal cancer patients were treated using this approach. Under pneumomediastinum via a right neck incision, the right cervical and upper mediastinal paraesophageal Lymph Nodes were dissected. The left recurrent nerve Lymph Nodes were dissected using a left trans-cervical pneumomediastinal approach. The subaortic arch to the left Tracheobronchial Lymph Nodes was dissected with a combined right and left trans-cervical crossover approach. Results The average number of dissected Lymph Nodes among the right cervical and upper mediastinal paraesophageal Lymph Nodes identified with a right cervical open/right trans-cervical mediastinoscopic/right thoracoscopic approach was 3.2/4.0/0.6, respectively. The average number of dissected Lymph Nodes among the subaortic arch to the left Tracheobronchial Lymph Nodes with a right trans-cervical mediastinoscopic/right thoracoscopic approach was 1.5/0.6, respectively. These findings indicate that, without using the right trans-cervical pneumomediastinal approach, it might be impossible to successfully remove some of the right cervical and upper mediastinal paraesophageal Lymph Nodes and the subaortic arch to the left Tracheobronchial Lymph Nodes Lymph Nodes. Regarding surgical complications, one case of bilateral recurrent nerve palsy as well as two cases on the right and two cases on the left were noted. Conclusions Although the rate of recurrent nerve palsy should still be reduced, a bilateral (especially right-sided) trans-cervical pneumomediastinal approach is an available option for achieving sufficient upper mediastinal Lymph node dissection and esophagectomy.
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The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option.
General thoracic and cardiovascular surgery, 2019Co-Authors: Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Toshihiro Matsui, Kagami Nagai, Tatsuyuki Kawano, Yusuke KinugasaAbstract:We investigated the merits and demerits of right cervical open surgery with right trans-cervical pneumomediastinal approach in mediastinoscopic esophagectomy. Ten thoracic esophageal cancer patients were treated using this approach. Under pneumomediastinum via a right neck incision, the right cervical and upper mediastinal paraesophageal Lymph Nodes were dissected. The left recurrent nerve Lymph Nodes were dissected using a left trans-cervical pneumomediastinal approach. The subaortic arch to the left Tracheobronchial Lymph Nodes was dissected with a combined right and left trans-cervical crossover approach. The average number of dissected Lymph Nodes among the right cervical and upper mediastinal paraesophageal Lymph Nodes identified with a right cervical open/right trans-cervical mediastinoscopic/right thoracoscopic approach was 3.2/4.0/0.6, respectively. The average number of dissected Lymph Nodes among the subaortic arch to the left Tracheobronchial Lymph Nodes with a right trans-cervical mediastinoscopic/right thoracoscopic approach was 1.5/0.6, respectively. These findings indicate that, without using the right trans-cervical pneumomediastinal approach, it might be impossible to successfully remove some of the right cervical and upper mediastinal paraesophageal Lymph Nodes and the subaortic arch to the left Tracheobronchial Lymph Nodes Lymph Nodes. Regarding surgical complications, one case of bilateral recurrent nerve palsy as well as two cases on the right and two cases on the left were noted. Although the rate of recurrent nerve palsy should still be reduced, a bilateral (especially right-sided) trans-cervical pneumomediastinal approach is an available option for achieving sufficient upper mediastinal Lymph node dissection and esophagectomy.
