Minimally invasive esophagectomy and radical lymph node dissection without recurrent laryngeal nerve paralysis

被引:30
作者
Otsuka, Koji [1 ]
Murakami, Masahiko [1 ]
Goto, Satoru [1 ]
Ariyoshi, Tomotake [1 ]
Yamashita, Takeshi [1 ]
Saito, Akira [1 ]
Kohmoto, Masahiro [1 ]
Kato, Rei [1 ]
Lefor, Alan Kawarai [2 ]
Aoki, Takeshi [1 ]
机构
[1] Showa Univ, Sch Med, Div Gastroenterol & Gen Surg, Dept Surg,Shinagawa Ku, 1-5-8 Hatanodai, Tokyo 1428666, Japan
[2] Jichi Med Univ, Dept Surg, Shimotsuke, Tochigi, Japan
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2020年 / 34卷 / 06期
基金
日本学术振兴会;
关键词
Minimally invasive esophagectomy; Radical lymphadenectomy; Recurrent laryngeal nerve paralysis; Prevent complications; Native tissue preservation; Micro-anatomical layer; THORACOSCOPIC ESOPHAGECTOMY; BLOOD-FLOW; CANCER; BIPOLAR; MONOPOLAR; OUTCOMES; SURGERY; SPREAD; JAPAN;
D O I
10.1007/s00464-020-07372-3
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background We introduce a novel operative technique to dissect lymph nodes adjacent to the recurrent laryngeal nerve, referred to as the "native tissue preservation" technique. Using this technique, there was no damage to the recurrent laryngeal nerve, which is maintained in its anatomical position. Methods From September 2016 to December 2018, minimally invasive esophagectomy was performed in the left lateral decubitus position in 87 patients with esophageal cancer. The native tissue preservation technique for lymphadenectomy around the recurrent laryngeal nerve was used, and all patients were evaluated for recurrent laryngeal nerve paralysis. Results Minimally invasive esophagectomy was completed in all patients without conversion to thoracotomy. Although an extended lymphadenectomy was performed in all patients, there were no grade II or higher complications (Clavien-Dindo classification) and no incidence of recurrent laryngeal nerve paralysis. Conclusion The native tissue preservation technique may reduce the incidence of recurrent laryngeal nerve paralysis after minimally invasive esophagectomy with radical lymph node dissection.
引用
收藏
页码:2749 / 2757
页数:9
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