Application of recurrent laryngeal nerve detector in the neck anastomosis of upper or middle-thoracic esophageal carcinoma
10.3760/cma.j.issn.1006-9801.2018.04.004
- VernacularTitle:喉返神经探测仪在胸中上段食管癌颈部吻合术中的应用
- Author:
Weipeng ZHU
1
;
Fan YANG
;
Jiashun CAO
;
Chuanduo ZHAO
;
Bing DONG
;
Donghong CHEN
Author Information
1. 102218,清华大学附属北京清华长庚医院胸外科 清华大学临床医学院
- Keywords:
Esophageal neoplasms;
Thoracic surgery;
video-assisted;
Recurrent laryngeal nerve injury;
Nerve detector
- From:
Cancer Research and Clinic
2018;30(4):233-236
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of recurrent laryngeal nerve detector on the operation of upper or middle-thoracic esophageal carcinoma. Methods A total of 60 patients with resectable esophageal carcinoma in Beijing Tsinghua Changgung Hospital from January 2015 to December 2017 were recruited. These patients were randomly divided into experimental group and control group by using random number table method.The experimental group used recurrent laryngeal nerve detector to assist in the nerve exploration and separation. The control group was treated by routine operation method, and the operation effect of the two groups was compared. Results In the experimental group, the time spent on the confirmation of recurrent laryngeal nerve was significantly shorter than that in the control group [right side: 1.50 min (1.00, 1.63 min) vs. 5.50 min(4.88, 6.50 min), Z= -6.715, P < 0.05; left side: 1.75 min (1.50, 2.00 min) vs. 7.85 min (6.50, 9.00 min), Z= -6.726, P< 0.05]. The rate of recurrent laryngeal nerve injury in the experimental group was significantly lower than that in the control group [3.3 % (1/30) vs. 20.0 % (6/30), χ 2= 4.043, P < 0.05]. Conclusion The use of recurrent laryngeal nerve detector in the neck anastomosis of upper or middle-thoracic esophageal carcinoma can significantly shorten the time spent on confirming of the recurrent laryngeal nerve and reduce the rate of recurrent laryngeal nerve injury.
