ArticleJournal of thoracic disease2026
Impact of thoracic inlet anatomy and reconstruction route selection based on computed tomography three-dimensional reconstruction on cervical anastomotic leakage after esophagectomy.
Article in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Cervical anastomotic leakage is a serious complication following esophagectomy. The selection of the reconstruction route [posterior mediastinal (PM) Methods: We conducted a retrospective analysis of 100 patients who underwent McKeown esophagectomy between October 2019 and October 2025. After propensity score matching, 33 patients were matched in both the PM and RS groups. Preoperative computed tomography (CT) images were used for three-dimensional reconstruction to measure reconstruction route length and thoracic inlet parameters, including thickness of the clavicle (TC), thickness of the sternum (TS), interclavicular distance (ICD), sternum-trachea distance (STD), sternum-vertebra distance (SVD), and thoracic diameters. Results: The RS route was significantly shorter than the PM route (336±39.3 Conclusions: The RS route is shorter than the PM route. A narrow thoracic inlet, characterized by a smaller STD and a larger HD, is a key risk factor for anastomotic leakage. Preoperative CT assessment of the thoracic inlet provides significant predictive value for surgical planning.
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