Influence of Preoperative Radiation Field on Postoperative Leak Rates in Esophageal Cancer Patients after Trimodality Therapy Aditya Juloori, BS, Susan.

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Presentation transcript:

Influence of Preoperative Radiation Field on Postoperative Leak Rates in Esophageal Cancer Patients after Trimodality Therapy Aditya Juloori, BS, Susan L. Tucker, PhD, Ritsuko Komaki, MD, Zhongxing Liao, MD, Arlene M. Correa, PhD, Stephen G. Swisher, MD, Wayne L. Hofstetter, MD, Steven H. Lin, MD, PhD Journal of Thoracic Oncology Volume 9, Issue 4, Pages 534-540 (April 2014) DOI: 10.1097/JTO.0000000000000100 Copyright © 2014 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 1 Illustration of a case with out-of-field anastomosis. A, Simulation CT imaging of a midesophageal tumor with treatment plan encompassing areas below the aortic arch. B, Post-Ivor-Lewis esophagectomy CT imaging showing postoperative anatomy. White arrows point to the area of anastomosis above the aortic arch. This patient did not develop anastomotic leak. CT, computed tomography. Journal of Thoracic Oncology 2014 9, 534-540DOI: (10.1097/JTO.0000000000000100) Copyright © 2014 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 2 Illustration of a case with in-field anastomosis. A, Simulation CT imaging of a midesophageal tumor with treatment plan encompassing areas below the aortic arch. B, Post-Ivor-Lewis esophagectomy CT imaging showing postoperative anatomy. White arrows point to the area of anastomosis at the level of carina within the radiation treatment field. This patient developed grade 3 anastomotic leak. CT, computed tomography. Journal of Thoracic Oncology 2014 9, 534-540DOI: (10.1097/JTO.0000000000000100) Copyright © 2014 International Association for the Study of Lung Cancer Terms and Conditions