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

Manuela Perez 1 Thierry Haumont 2, 3 Jean Arnoux 2 Imen Redjaimia 2 Nathalie Rouard 2 Alain Blum 4 Nicolas Reibel 5 Nicolas Jay 6 Marc Braun 2, 7 Gilles Grosdidier 2, 5
1 Department of Anatomy, Faculty of Medicine
2 Laboratoire d'Anatomie
3 Service d'Orthopédie Pédiatrique
4 Imagerie Guilloz
5 Service de chirurgie générale et urgences
6 SPI-EAO - Santé Publique, Information médicale et Enseignement multimédia Assisté par Ordinateur
Faculté de Médecine [Nancy]
7 IADI - Imagerie Adaptative Diagnostique et Interventionnelle
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
Document type :
Journal articles
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https://www.hal.inserm.fr/inserm-00605157
Contributor : Jacques Felblinger <>
Submitted on : Thursday, June 30, 2011 - 5:16:38 PM
Last modification on : Friday, May 24, 2019 - 10:14:08 AM

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Manuela Perez, Thierry Haumont, Jean Arnoux, Imen Redjaimia, Nathalie Rouard, et al.. Anatomically based comparison of the different transthoracic routes for colon ascension after total esogastrectomy.. Surgical and Radiologic Anatomy, Springer Verlag (Germany), 2010, 32 (1), pp.63-8. ⟨10.1007/s00276-009-0550-7⟩. ⟨inserm-00605157⟩

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