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

Surgical and Radiologic Anatomy volume 32, pages 63–68 (2010)Cite this article

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.

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Affiliations

  1. Department of Anatomy, Faculty of Medicine, University of Nancy, Nancy, France

    Manuela Perez, Thierry Haumont, Jean Michel Arnoux, Imen Redjaimia, Nathalie Rouard, Marc Braun & Gilles Grosdidier

  2. Department of General and Emergency Surgery, Hôpital Central, University Hospital of Nancy, Nancy, France

    Manuela Perez, Nicolas Reibel & Gilles Grosdidier

  3. Department of Pediatric Orthopedics, Brabois University Hospital, Nancy, France

    Thierry Haumont

  4. Department of Radiology GUILLOZ, University Hospital of Nancy, Nancy, France

    Alain Blum

  5. SPI-EAO, Statistic Laboratory, Faculty of Medicine, University of Nancy, Nancy, France

    Nicolas Jay

  6. IADI-Inserm U 947, University of Nancy, Nancy, France

    Manuela Perez & Marc Braun

  7. Department of Neuro-Radiology, Hôpital Central, University Hospital of Nancy, Nancy, France

    Marc Braun

  8. Service de Chirurgie Generale et Urgences, Hôpital Central Av. De Lattre de Tassigny, 54000, Nancy, France

    Manuela Perez

  9. Laboratoire d’Anatomie, Faculté de Médecine de Nancy, Allée du Morvan, Vandœuvre les Nancy, 54500, Nancy, France

    Manuela Perez

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  1. Manuela Perez
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  2. Thierry Haumont
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  3. Jean Michel Arnoux
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  4. Imen Redjaimia
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  5. Nathalie Rouard
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  6. Alain Blum
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  7. Nicolas Reibel
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  8. Nicolas Jay
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  9. Marc Braun
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  10. Gilles Grosdidier
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Correspondence to Manuela Perez.

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Perez, M., Haumont, T., Arnoux, J.M. et al. Anatomically based comparison of the different transthoracic routes for colon ascension after total esogastrectomy. Surg Radiol Anat 32, 63–68 (2010). https://doi.org/10.1007/s00276-009-0550-7

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  • DOI: https://doi.org/10.1007/s00276-009-0550-7

Keywords

  • Coloplasty
  • Route of reconstruction
  • Esogastrectomy
  • Esophagoplasty