Spatial relationships of the bronchial arteries to the left recurrent laryngeal nerve in the sub-aortic arch area

Hayasaka, Ken; Ishida, Hajime; Kimura, Ryosuke; Nishimaki, Tadashi

doi:10.1007/s00595-017-1593-8

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…Moreover, the anatomy of the aorta, thoracic duct, and trachea in the region of the left RLN is variable. It is difficult to dissect in a narrow space (16). Finally, compared with the prone position, lung tissue is frequent to obscure the operative field in the left lateral decubitus position that we always choose.…”

Section: Discussionmentioning

confidence: 99%

Two-rope method for dissecting esophagus in McKeown MIE

Wang

Liu²,

Zhang³

et al. 2023

Front. Surg.

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ObjectiveMinimally invasive McKeown esophagectomy (McKeown MIE) is performed at many hospitals in esophageal cancer(EC) treatment. However, secure and quick methods for dissecting the esophagus and dissecting lymph nodes in this surgery are lacking. This study introduces a simple, secure and feasible esophagus dissecting technique named two-rope method. Two mobile traction ropes are placed around the esophagus and we tow these ropes to free the esophagus, dissect the lymph nodes, and decrease the operative trauma.Materials and MethodsRetrospective analysis was performed on 112 patients who underwent McKeown MIE in our center from January 2019 to September 2021. They were assigned into two groups based on the method of dissecting the esophagus: Group A (two-rope method, 45 cases) and Group B (regular method, 67 cases). Operation time, thoracic operation time, the number of dissected thoracic lymph nodes, and postoperative complications were compared between the two groups after propensity score matching.ResultsUsing 1:1 nearest neighbor matching, we successfully matched 41 pairs of patients. Operation time, thoracic operation time, and the duration (ac to as) was significantly shorter and the size of the abdominal incision was significantly smaller in the Group A than Group B (p < 0.05). There was no statistically significant difference in the number of dissected thoracic lymph nodes, pulmonary infection, anastomotic leak, recurrent laryngeal (RLN) injury, and chylothorax between the two groups (p > 0.05).ConclusionsTwo-rope method to free the esophagus and dissect thoracic lymph nodes in McKeown MIE has significant advantages compared with the regular method. The technique is, therefore suitable for widespread adoption by surgeons.

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Section: Discussionmentioning

confidence: 99%