PMC5943863_01
A, B. Chest and upper abdominal computed tomography (CT) showed a solitary nodule, measuring 2.3 cm in diameter, in the left superior lung lobe.
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F1
Chest and upper abdominal computed tomography (CT) showed wall thickening in the lower esophagus, accompanied by a solitary nodule, 2.3 cm in diameter, in the superior lobe of the left lung (Figs. 1 and 2).
A. By endoscopic ultrasound, the esophageal tumor was staged as T3N1. B. CT scan showed wall thickening in the lower esophagus. C. A 5 mm lymph node was detected with the suspicion of metastasis along the right recurrent laryngeal nerve. D. Lymph nodes, >10 mm in diameter, were detected around the left gastric artery and gastric cardia. CT = computed tomography.
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F2
Chest and upper abdominal computed tomography (CT) showed wall thickening in the lower esophagus, accompanied by a solitary nodule, 2.3 cm in diameter, in the superior lobe of the left lung (Figs. 1 and 2).
A, B. Anatomy behind the aortic arch via left thoracoscopy. C, D. The left recurrent laryngeal nerve and thoracic duct were exposed via cervical mediastinoscopy.
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F3
Lymph nodes along the left recurrent laryngeal nerve and thoracic esophagus were also dissected (Fig. 3A and B). The mobilization of the upper third of the esophagus and the lymphadenectomy along the bilateral recurrent laryngeal nerves were completed (Fig. 3C), via video-assisted mediastinoscopy, as previously described. The thoracic duct was exposed and ligated with a Hem-o-lock clip (Fig. 3D).