Skip to main content
SpringerLink
Log in

Mediastinoscopic view of the bronchial arteries in a series of surgical cases evaluated with three-dimensional computed tomography

  • Original Article
  • Published:
Esophagus Aims and scope Submit manuscript

Abstract

Background

We have routinely performed three-dimensional computed tomography (3-D CT) prior to video-assisted transmediastinal esophagectomy to evaluate the small arteries in the mediastinal operative field. This evaluation would be helpful in performing mediastinoscopic esophagectomy.

Methods

Thirty-one patients who underwent transmediastinal esophagectomy with preoperative evaluations by 3-D CT were the study subject. The bronchial arteries depicted by the 3-D CT were classified by their origin and laterality. In 18 of the 31 cases, the surgical video was available and the identification rate in the video was reviewed for each of the categorized bronchial arteries.

Results

The detection rates of each classified artery were as follows (abbreviations, detection rate); the intercostal-bronchial trunk (IBT, 22/31), the direct left bronchial artery (LBA, 17/31), the common trunk of bronchial arteries (CTB, 7/31), the direct right bronchial artery (RBA, 2/31), and the ectopic arteries (16/31). The ectopic arteries arose from the aortic arch (11 cases), the right subclavian artery (6 cases) or the left subclavian artery (1 case). The identification rates of IBT, LBA, CTB, RBA and any of the ectopic arteries in the video review were 12/13, 4/8, 3/4, 1/1 and 2/10, respectively.

Conclusions

Preoperative 3-D CT was a highly sensitive evaluation for the bronchial arteries encountered during transmediastinal esophagectomy. Orthotopic arteries except for LBA were frequently identified at the predicted sites. Although RBA and CTB were present infrequently, they often flowed into regional nodes at the bilateral bronchi or the tracheal bifurcation and, therefore, should be preoperatively evaluated.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Battal B, Akgun V, Karaman B, et al. Normal anatomical features and variations of bronchial arteries: an analysis with 64-detector-row computed tomographic angiography. J Comput Assist Tomogr. 2011;35(2):253–9.

    Article  PubMed  Google Scholar 

  2. Hayasaka K, Ishida H, Kimura R, et al. A new anatomical classification of the bronchial arteries based on the spatial relationships to the esophagus and the tracheobronchus. Surg Today. 2017;47(7):883–90.

    Article  PubMed  Google Scholar 

  3. Ziyawudong J, Kawai N, Sato M, et al. Aortic ostia of the bronchial arteries and tracheal bifurcation: MDCT analysis. World J Radiol. 2012;4(1):29–35.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Morita Y, Takase K, Ichikawa H, et al. Bronchial artery anatomy: preoperative 3D simulation with multidetector CT. Radiology. 2010;255(3):934–43.

    Article  PubMed  Google Scholar 

  5. Cauldwell EW, Siekert RG, Lininger RE, et al. The bronchial arteries; an anatomic study of 150 human cadavers. Surg Gynecol Obstet. 1948;86(4):395–412.

    PubMed  CAS  Google Scholar 

  6. Walker CM, Rosado-de-Christenson ML, Martínez-Jiménez S, et al. Bronchial arteries: anatomy, function, hypertrophy, and anomalies. Radiographics. 2015;35(1):32–49.

    Article  PubMed  Google Scholar 

  7. Yener Ö, Türkvatan A, Yüce G, et al. The normal anatomy and variations of the bronchial arteries: evaluation with multidetector computed tomography. Can Assoc Radiol J. 2015;66(1):44–52.

    Article  PubMed  Google Scholar 

  8. Kasai T, Chiba S. Macroscopic anatomy of the bronchial arteries. Anat Anz. 1979;145(2):166–81.

    PubMed  CAS  Google Scholar 

  9. Kasai T. Anatomical findings of the bronchial artery. J Jpn Soc Resp Endosc. 1979;11(6):530–40.

    Google Scholar 

  10. Mori K, Yamagata Y, Aikou S, et al. Short-term outcomes of robotic radical esophagectomy for esophageal cancer by a nontransthoracic approach compared with conventional transthoracic surgery. Dis Esophagus. 2016;29(5):429–34.

    Article  PubMed  CAS  Google Scholar 

  11. Mori K, Aikou S, Yagi K, et al. Technical details of video-assisted transcervical mediastinal dissection for esophageal cancer and its perioperative outcome. Ann Gastroenterol Surg. 2017;1(3):232–7.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Fujiwara H, Shiozaki A, Konishi H, et al. Single-port mediastinoscopic lymphadenectomy along the left recurrent laryngeal nerve. Ann Thorac Surg. 2015;100(3):1115–7.

    Article  PubMed  Google Scholar 

  13. Fujiwara H, Shiozaki H, Konishi H, et al. Hand-assisted laparoscopic transhiatal esophagectomy with a systematic procedure for en bloc infracarinal lymph dissection. Dis Esophagus. 2016;29(2):131–8.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Graduate School of Medicine, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo, 113-8655, Japan

    Kazuhiko Mori, Shuntaro Yoshimura, Susumu Aikou, Koichi Yagi, Masato Nishida, Takashi Mitsui, Yasuhiro Okumura, Hiroharu Yamashita, Sachiyo Nomura & Yasuyuki Seto

  2. Department of Gastrointestinal Surgery, Mitsui Memorial Hospital, Tokyo, Japan

    Kazuhiko Mori

  3. Department of Radiology, The University of Tokyo Hospital, Tokyo, Japan

    Kenji Ino

  4. Department of Gastric Surgery, National Cancer Center Hospital, Tokyo, Japan

    Yukinori Yamagata

Authors
  1. Kazuhiko Mori
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kenji Ino
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shuntaro Yoshimura
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Susumu Aikou
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Koichi Yagi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Masato Nishida
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Takashi Mitsui
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Yasuhiro Okumura
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Yukinori Yamagata
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Hiroharu Yamashita
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Sachiyo Nomura
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Yasuyuki Seto
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yasuyuki Seto.

Ethics declarations

Ethical statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions.

Conflict of interest

All of the authors, Mori K, Ino K, Yoshimura S, Aikou S, Yagi K, Nishida M, Okumura Y, Mitsui M, Yamagata Y, Yamashita H, Nomura S and Seto Y, declare that he or she has no conflict of interest.

Informed consent

Informed consent or substitute for it was obtained from all patients for being included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mori, K., Ino, K., Yoshimura, S. et al. Mediastinoscopic view of the bronchial arteries in a series of surgical cases evaluated with three-dimensional computed tomography. Esophagus 15, 173–179 (2018). https://doi.org/10.1007/s10388-018-0609-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10388-018-0609-9

Keywords

Search

Navigation