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Surgical and Radiologic Anatomy

, Volume 32, Issue 1, pp 63–68 | Cite as

Anatomically based comparison of the different transthoracic routes for colon ascension after total esogastrectomy

  • Manuela PerezEmail author
  • Thierry Haumont
  • Jean Michel Arnoux
  • Imen Redjaimia
  • Nathalie Rouard
  • Alain Blum
  • Nicolas Reibel
  • Nicolas Jay
  • Marc Braun
  • Gilles Grosdidier
Anatomic Bases of Medical, Radiological and Surgical Techniques

Abstract

Colon interposition is the method of choice to restore the digestive tract after esogastrectomy. The aim of this study was to compare the length of the four available routes for colon transposition (posterior mediastinum route, transpleural route, substernal route and subcutaneous route) and to achieve a specific evaluation of the transpleural route. Our study was conducted with anatomical (dissection) and radiological (2D CT scan reconstructions) protocols. For both, the posterior mediastinum route was always the shortest way and the subcutaneous route was always the longest. For the anatomical results, the transpleural route and the substernal route were similar in terms of length and for the radiological study, the transpleural route was shorter than the substernal route (P < 0.001) and shorter than the subcutaneous route (P < 0.001). We demonstrated that the transpleural route was acceptable for colon transposition in term of length, and could be an alternative when the substernal route is unavailable.

Keywords

Coloplasty Route of reconstruction Esogastrectomy Esophagoplasty 

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Manuela Perez
    • 1
    • 2
    • 6
    • 8
    • 9
    Email author
  • Thierry Haumont
    • 1
    • 3
  • Jean Michel Arnoux
    • 1
  • Imen Redjaimia
    • 1
  • Nathalie Rouard
    • 1
  • Alain Blum
    • 4
  • Nicolas Reibel
    • 2
  • Nicolas Jay
    • 5
  • Marc Braun
    • 1
    • 6
    • 7
  • Gilles Grosdidier
    • 1
    • 2
  1. 1.Department of Anatomy, Faculty of MedicineUniversity of NancyNancyFrance
  2. 2.Department of General and Emergency Surgery, Hôpital CentralUniversity Hospital of NancyNancyFrance
  3. 3.Department of Pediatric OrthopedicsBrabois University HospitalNancyFrance
  4. 4.Department of Radiology GUILLOZUniversity Hospital of NancyNancyFrance
  5. 5.SPI-EAO, Statistic Laboratory, Faculty of MedicineUniversity of NancyNancyFrance
  6. 6.IADI-Inserm U 947, University of NancyNancyFrance
  7. 7.Department of Neuro-Radiology, Hôpital CentralUniversity Hospital of NancyNancyFrance
  8. 8.Service de Chirurgie Generale et UrgencesHôpital Central Av. De Lattre de TassignyNancyFrance
  9. 9.Laboratoire d’Anatomie, Faculté de Médecine de NancyAllée du MorvanNancyFrance

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