Prevention of intra-thoracic recurrent laryngeal nerve injury with robot-assisted esophagectomy

التفاصيل البيبلوغرافية
العنوان: Prevention of intra-thoracic recurrent laryngeal nerve injury with robot-assisted esophagectomy
المؤلفون: Marie Washio, Mikiko Sakuraya, Hideki Ushiku, Keishi Yamashita, Masahiro Niihara, Naoki Hiki, Hiroki Harada, Kei Hosoda
المصدر: Langenbeck's archives of surgery. 405(4)
سنة النشر: 2020
مصطلحات موضوعية: Male, medicine.medical_specialty, Esophageal Neoplasms, medicine.medical_treatment, Operative Time, 03 medical and health sciences, 0302 clinical medicine, Robotic Surgical Procedures, Recurrent laryngeal nerve, Medicine, Humans, Aged, business.industry, Thoracoscopy, Carcinoma, Esophageal cancer, Middle Aged, medicine.disease, Cardiac surgery, Surgery, Esophagectomy, Dissection, Cardiothoracic surgery, 030220 oncology & carcinogenesis, Recurrent Laryngeal Nerve Injuries, 030211 gastroenterology & hepatology, Lymphadenectomy, Female, business, Abdominal surgery
الوصف: Transthoracic esophagectomy for esophageal cancer is one of the most invasive procedures in surgery for gastrointestinal cancer. Serious complications sometimes occur after esophageal cancer surgery, including recurrent laryngeal nerve injury and pneumonia. The purpose of this study was to access the possibility of robot-assisted thoracoscopic esophagectomy for esophageal cancer in terms of preventing recurrent laryngeal nerve injury. Operations in thoracic part were performed in prone position with bilateral ventilation. During dissection of the recurrent laryngeal nerve lymph nodes, thin blood vessels were coagulated with Maryland bipolar forceps in the left hand and then dissected with monopolar scissors in the right hand. Especially when dissecting left recurrent laryngeal nerve lymph nodes, the nerve was left unisolated from the vascular sheath that involves the aortic arch. Short-term outcomes including operative time, estimated blood loss, and postoperative complications including recurrent laryngeal nerve injury were accessed. From November 2018 to January 2020, 20 patients underwent robot-assisted thoracoscopic esophagectomy for esophageal cancer. Thoracic operative time was 242 min, estimated blood loss in the thoracic part was minimal, the number of dissected mediastinal lymph nodes was 19 (all median), and the incidence rates of recurrent laryngeal nerve injury and pneumonia were 10% (2 case) and 10% (2 cases), respectively. Robot-assisted thoracoscopic esophagectomy for esophageal cancer has the possibility of reducing recurrent laryngeal nerve injury even in the introductory period. Randomized controlled trials are required to confirm this advantage of the robotic surgery.
تدمد: 1435-2451
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::93fae4a6e48ae8314bfd8d767f36dfca
https://pubmed.ncbi.nlm.nih.gov/32494883
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....93fae4a6e48ae8314bfd8d767f36dfca
قاعدة البيانات: OpenAIRE