Lymph nodes dissection along bilateral recurrent laryngeal nerve for patients with esophageal carcinoma: thoracoscopic esophagectomy versus open thoracic esophagectomy

VernacularTitle:胸腔镜食管癌手术双侧喉返神经旁淋巴结清扫及相关并发症分析
Author: Chao SUN ; Weiping SHI ; Shichun LU ; Xiaolin WANG ; Xiaoxia LYU ; Hui ZOU
Keywords: Thoracoscopy; Esophageal neoplasms; Recurrent laryngeal nerve
From: Chinese Journal of General Practitioners 2017;16(9):705-707
CountryChina
Language:Chinese
Abstract: One hundred and thirty patients with esophageal carcinoma were randomly asigned into two groups:62 cases received thoracoscopic esophagectomy (TE group) and 68 cases received open thoracic esophagectomy group (OE group).All patients underwent lymph nodes dissection along bilateral recurrent laryngeal nerve.Compared with OE group,TE group had a less blood loss during the lymph nodes dissection (P ＜ 0.05) and a lower incidence of pulmonary infection (P ＜ 0.05).There were no significant differences in the number of dissected lymph nodes,dissection time,incidence of temporary hoarseness,permanent hoarseness and mechanical ventilation for respiratory failure between two groups (P ＞ 0.05).The study suggests that lymph nodes dissection along bilateral recurrent laryngeal nerve can be succesfully completed by thoracoscopic esophagestomy,and it has the advantage of less intraoperative blood loss and lower incidence of pulmonary infection,compared to open thoracic surgery.