{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T16:12:22Z","timestamp":1784045542577,"version":"3.55.0"},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:p>RACIONAL: A esofagectomia \u00e9 procedimento dif\u00edcil, devido a: a) ser opera\u00e7\u00e3o complexa; b) apresentar alta morbidade e mortalidade; c) a anatomia cir\u00fargica do es\u00f4fago \u00e9 muito peculiar. As varia\u00e7\u00f5es anat\u00f4micas que podem ser encontradas inesperadamente durante uma opera\u00e7\u00e3o podem causar complica\u00e7\u00f5es e influenciar os resultados. OBJETIVO: Revisar a base anat\u00f4mica para esofagectomia destacando as varia\u00e7\u00f5es encontradas nas estruturas mediastinais atrav\u00e9s de revis\u00e3o de literatura e dissec\u00e7\u00e3o de cad\u00e1veres. M\u00c9TODOS: A literatura relacionada com a anatomia cir\u00fargica das estruturas es\u00f4fago e mediastino foi revista. Al\u00e9m disso, um total de 20 cad\u00e1veres humanos frescos (n\u00e3o embalsamados, n\u00e3o preservados e com tempo de morte com menos de 12 h) foram dissecados. Dezesseis eram do sexo masculino com idade m\u00e9dia de 53\u00b123 anos. RESULTADOS: Varia\u00e7\u00f5es anat\u00f4micas de aorta, sistema \u00e1zigos, pleura, nervo vago, linfonodos e ducto tor\u00e1cico foram documentadas. CONCLUS\u00d5ES: Os \u00f3rg\u00e3os e estruturas do mediastino podem, frequentemente, apresentar varia\u00e7\u00f5es anat\u00f4micas. Algumas delas podem ser clinicamente significativas durante esofagectomia. Devido a que apenas uma parte dessas varia\u00e7\u00f5es s\u00e3o identificadas antes da opera\u00e7\u00e3o com os meios de imagens atuais, os cirurgi\u00f5es devem estar cientes da possibilidade dessas varia\u00e7\u00f5es anat\u00f4micas.<\/jats:p>","DOI":"10.1590\/s0102-67202013000200006","type":"journal-article","created":{"date-parts":[[2013,8,31]],"date-time":"2013-08-31T13:28:30Z","timestamp":1377955710000},"page":"101-106","source":"Crossref","is-referenced-by-count":7,"title":["Varia\u00e7\u00f5es anat\u00f4micas na anatomia cir\u00fargica do es\u00f4fago tor\u00e1cico e suas estruturas circundantes"],"prefix":"10.1590","volume":"26","author":[{"given":"Guilherme F.","family":"Takassi","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando A. M.","family":"Herbella","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco G.","family":"Patti","sequence":"additional","affiliation":[{"name":"University of Chicago, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/j.jamcollsurg.2010.07.029","article-title":"J Surgical resection for locoregional esophageal cancer is underutilized in the United States","volume":"211","author":"Dubecz A","year":"2010","journal-title":"Am Coll Surg"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1016\/S0039-6109(05)70600-9","article-title":"Surgery of the esophagus: Anatomy and physiology","volume":"77","author":"Patti MG","year":"1997","journal-title":"Surg Clin North Am","ISSN":"https:\/\/id.crossref.org\/issn\/0039-6109","issn-type":"print"},{"issue":"5","key":"ref3","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1111\/j.1442-2050.2008.00811.x","article-title":"Treatment of achalasia: lessons learned with Chagas' disease","volume":"21","author":"Herbella FA","year":"2008","journal-title":"Dis Esophagus","ISSN":"https:\/\/id.crossref.org\/issn\/1120-8694","issn-type":"print"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/j.jamcollsurg.2009.01.004","article-title":"Association of kyphosis and spinal skeletal abnormalities with intrathoracic stomach: a link toward understanding its pathogenesis","volume":"208","author":"Polomsky M","year":"2009","journal-title":"J Am Coll Surg","ISSN":"https:\/\/id.crossref.org\/issn\/1072-7515","issn-type":"print"},{"issue":"5","key":"ref5","first-page":"993","article-title":"Pneumothorax during laparoscopic fundoplication: diagnosis and treatment with positive end-expiratory pressure","volume":"81","author":"Joris JL","year":"1995","journal-title":"Anesth Analg","ISSN":"https:\/\/id.crossref.org\/issn\/0003-2999","issn-type":"print"},{"key":"ref6","series-title":"Anatomy of the Human Body","author":"Gray H.","year":"1918"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/00000658-198708000-00011","article-title":"Esophagectomy without thoracotomy: is there a risk of intramediastinal bleeding? A study on blood supply of the esophagus","volume":"206","author":"Liebermann-Meffert DM","year":"1987","journal-title":"Ann Surg","ISSN":"https:\/\/id.crossref.org\/issn\/0003-4932","issn-type":"print"},{"issue":"90","key":"ref8","first-page":"395","article-title":"Esophageal cancer resection associated with a right aortic arch after descending aortic graft replacement","volume":"56","author":"Yamamoto Y","year":"2009","journal-title":"Hepatogastroenterology","ISSN":"https:\/\/id.crossref.org\/issn\/0172-6390","issn-type":"print"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1046\/j.1442-2050.1999.00025.x","article-title":"Esophageal cancer and right aortic arch associated with a vascular ring","volume":"12","author":"Kinoshita Y","year":"1999","journal-title":"Dis Esophagus","ISSN":"https:\/\/id.crossref.org\/issn\/1120-8694","issn-type":"print"},{"issue":"1","key":"ref10","first-page":"35","article-title":"Injury of an aberrant subclavian artery: a rare complication of video assisted thoracoscopic esophagectomy","volume":"11","author":"Pantvaidya GH","year":"2005","journal-title":"Ann Thorac Cardiovasc Surg","ISSN":"https:\/\/id.crossref.org\/issn\/1341-1098","issn-type":"print"},{"issue":"6","key":"ref11","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1111\/j.1442-2050.2007.00787.x","article-title":"Dysphagia lusoria: a comprehensive review","volume":"20","author":"Levitt B","year":"2007","journal-title":"Dis Esophagus","ISSN":"https:\/\/id.crossref.org\/issn\/1120-8694","issn-type":"print"},{"issue":"1","key":"ref12","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/S0022-5223(19)38900-7","article-title":"En bloc resection for neoplasms of the esophagus and cardia","volume":"85","author":"Skinner DB","year":"1983","journal-title":"J Thorac Cardiovasc Surg","ISSN":"https:\/\/id.crossref.org\/issn\/0022-5223","issn-type":"print"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1002\/ajpa.1330190117","article-title":"The azygos system of veins in American White and American Negroes, including observations on the inferior caval venous system","volume":"19","author":"Sieb GA","year":"1934","journal-title":"Am. J. Physiol. Anthrop"},{"issue":"4","key":"ref14","first-page":"352","article-title":"Double superior vena cava presenting with anomalous jugular and azygos venous systems","volume":"60","author":"Gesase AP","year":"2008","journal-title":"Indian Heart J","ISSN":"https:\/\/id.crossref.org\/issn\/0019-4832","issn-type":"print"},{"key":"ref15","series-title":"Illustrated Encyclopedia of Human Anatomic Variation","author":"Bergman RA"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1097\/00000658-200209000-00009","article-title":"Vagal-sparing esophagectomy: a more physiologic alternative","volume":"236","author":"Banki F","year":"2002","journal-title":"Ann Surg","ISSN":"https:\/\/id.crossref.org\/issn\/0003-4932","issn-type":"print"},{"issue":"5","key":"ref17","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1111\/j.1442-2050.2006.00595.x","article-title":"Vagal integrity in vagal-sparing esophagectomy: a cadaveric study","volume":"19","author":"Herbella FA","year":"2006","journal-title":"Dis Esophagus","ISSN":"https:\/\/id.crossref.org\/issn\/1120-8694","issn-type":"print"},{"issue":"2","key":"ref18","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.thorsurg.2011.01.006","article-title":"Nerves of the mediastinum","volume":"21","author":"Wang J","year":"2011","journal-title":"Thorac Surg Clin"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1053\/hn.1999.v120.a84675","article-title":"The anomaly of nonrecurrent laryngeal nerve: identification and management","volume":"120","author":"Cannon RC","year":"1999","journal-title":"Otolaryngol Head Neck Surg","ISSN":"https:\/\/id.crossref.org\/issn\/0194-5998","issn-type":"print"},{"issue":"4","key":"ref20","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1007\/s005950300056","article-title":"Anatomical analysis of the mediastinal lymph nodes of normal Brazilian subjects according to the classification of the Japanese Society for Diseases of the Esophagus","volume":"33","author":"Herbella FA","year":"2003","journal-title":"Surg Today","ISSN":"https:\/\/id.crossref.org\/issn\/0941-1291","issn-type":"print"},{"key":"ref21","doi-asserted-by":"crossref","DOI":"10.1007\/s11605-012-1824-7","article-title":"Extensive Mediastinal Lymphadenectomy During Minimally Invasive Esophagectomy: Optimal Results from a Single Center","author":"Shen Y","year":"2012","journal-title":"J Gastrointest Surg","ISSN":"https:\/\/id.crossref.org\/issn\/1091-255X","issn-type":"print"},{"issue":"2","key":"ref22","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.ejcts.2008.04.022","article-title":"Lymph node classification of esophageal squamous cell carcinoma and adenocarcinoma","volume":"34","author":"Tachibana M","year":"2008","journal-title":"Eur J Cardiothorac Surg","ISSN":"https:\/\/id.crossref.org\/issn\/1010-7940","issn-type":"print"},{"issue":"43","key":"ref23","first-page":"176","article-title":"How many lymph nodes are needed for an accurate pN classification in esophageal cancer?: Evidence for a new threshold value","volume":"49","author":"Dutkowski P","year":"2002","journal-title":"Hepatogastroenterology","ISSN":"https:\/\/id.crossref.org\/issn\/0172-6390","issn-type":"print"},{"issue":"4","key":"ref24","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1097\/SLA.0b013e318188c474","article-title":"The number of lymph nodes removed predicts survival in esophageal cancer: an international study on the impact of extent of surgical resection","volume":"248","author":"Peyre CG","year":"2008","journal-title":"Ann Surg","ISSN":"https:\/\/id.crossref.org\/issn\/0003-4932","issn-type":"print"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.soc.2006.10.006","article-title":"Anatomy of the lymphatics","volume":"16","author":"Skandalakis JE","year":"2007","journal-title":"Surg Oncol Clin N Am","ISSN":"https:\/\/id.crossref.org\/issn\/1055-3207","issn-type":"print"},{"key":"ref26","series-title":"Clinical anatomy and pathology of the thoracic duct: an investigation of 122 cases","author":"Jacobsson SI","year":"1972"},{"issue":"2","key":"ref27","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.thorsurg.2011.01.002","article-title":"Anatomy of the thoracic duct","volume":"21","author":"Hematti H","year":"2011","journal-title":"Thorac Surg Clin"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1002\/aja.1000170203","article-title":"A statistical study of the thoracic duct in man","volume":"17","author":"Davis HK","year":"1915","journal-title":"Am J Anat","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9106","issn-type":"print"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v26n2\/06.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,5]],"date-time":"2022-03-05T09:47:57Z","timestamp":1646473677000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202013000200006&lng=pt&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,6]]}},"alternative-id":["S0102-67202013000200006"],"URL":"https:\/\/doi.org\/10.1590\/s0102-67202013000200006","relation":{},"ISSN":["0102-6720"],"issn-type":[{"value":"0102-6720","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6]]}}}