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Surgical Endoscopy
Published in: Surgical Endoscopy 6/2020

Open Access 01-06-2020 | Esophagus Resection | Dynamic Manuscript

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

Authors: Koji Otsuka, Masahiko Murakami, Satoru Goto, Tomotake Ariyoshi, Takeshi Yamashita, Akira Saito, Masahiro Kohmoto, Rei Kato, Alan Kawarai Lefor, Takeshi Aoki

Published in: Surgical Endoscopy | Issue 6/2020

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Abstract

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.
Appendix
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Metadata
Title
Minimally invasive esophagectomy and radical lymph node dissection without recurrent laryngeal nerve paralysis
Authors
Koji Otsuka
Masahiko Murakami
Satoru Goto
Tomotake Ariyoshi
Takeshi Yamashita
Akira Saito
Masahiro Kohmoto
Rei Kato
Alan Kawarai Lefor
Takeshi Aoki
Publication date
01-06-2020
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 6/2020
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-07372-3

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