Key technology of lymph node dissection along recurrent laryngeal nerve and its associated complication prevention in patients with thoracic esophageal cancer
10.3760/cma.j.issn.0253-3766.2019.01.001
- VernacularTitle: 胸段食管癌喉返神经旁淋巴结清扫的技术要点与相关并发症的防治
- Author:
Yousheng MAO
1
;
Jie HE
;
Shugeng GAO
;
Qi XUE
;
Ligong YUAN
;
Yue ZHAO
;
Ningning DING
Author Information
1. Department of Thoracic Surgery, National Cancer Center/ National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100021, China
- Publication Type:Review
- Keywords:
Esophageal neoplasms;
Lymph node dissection;
Paralysis of recurrent laryngeal nerve;
Pulmonary complication
- From:
Chinese Journal of Oncology
2019;41(1):1-5
- CountryChina
- Language:Chinese
-
Abstract:
Esophageal cancer is one of the most prevalent cancers in China. Lymph node metastasis is one of the most important prognostic factors and severely affect the long-term survival after surgical treatment. Therefore, systemic two-field lymph node dissection including thoracic and abdominal draining nodes of the esophagus during surgery is essential in order to improve the long-term survival for the patients with thoracic esophageal cancer, and it is also the basis for precise staging and postoperative adjuvant treatment regimen- making. As reported in the literature, lymph node metastases along bilateral recurrent laryngeal nerve was the highest, therefore, the lymph node dissection along bilateral recurrent laryngeal nerve is the most important manipulation during esophagectomies, however, it is also the most technically difficult procedure during operation. It usually results in postoperative complications especially the respiratory complications due to paralysis of recurrent laryngeal nerves caused by lymph node dissection. Therefore, the gain and loss of lymph node dissection along bilateral recurrent laryngeal nerve has been a disputed and entangle topic for thoracic surgeons, and the purpose of this paper is to summarize author′s experience and the key technology to prevent the associated complications in lymph node dissection along recurrent laryngeal nerve during esophagectomies for the patients with thoracic esophageal cancer.
