Continuous Intraoperative Neuromonitoring Study Using Pigs for the Prevention of Mechanical Recurrent Laryngeal Nerve Injury in Esophageal Surgery

Deguchi, Tomoaki; Ikeda, Yoshifumi; Niimi, Masanori; Kitajima, Masaki

doi:10.1177/1553350617690304

Cited by 2 publications

(1 citation statement)

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“…We could only determine the incidence of recurrent laryngeal nerve palsy, but continuous intraoperative nerve monitoring was useful to decrease the injury in thyroid surgery [24]. In a recent animal study, Deguchi et al studied approaches to decrease the incidence of RLN damage during esophageal surgery [26] and suggested that continuous intraoperative nerve monitoring may be useful to decrease the incidence of nerve injury in esophageal surgery. The underlying concept of this native tissue preservation technique is to maintain the recurrent laryngeal nerve in its normal anatomical position without stretching, thermal damage, or touching the nerve, and this approach limits the incidence of RLNP, as there was no incidence of RLNP in 87 consecutive patients in this study.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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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.

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Section: Discussionmentioning

confidence: 99%