The value and related complications of lymph node dissection along bilateral recurrent laryngeal nerves in esophageal cancer patients.
10.3760/cma.j.cn112152-20201020-00917
- VernacularTitle:食管癌喉返神经旁淋巴结清扫的价值及相关并发症
- Author:
Li Gong YUAN
1
;
You Sheng MAO
1
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:Journal Article
- Keywords:
Esophageal neoplasms;
Pulmonary complications;
Recurrent laryngeal nerve lymph node;
Recurrent laryngeal nerve paralysis
- MeSH:
Esophageal Neoplasms/pathology*;
Esophagectomy/adverse effects*;
Humans;
Lymph Node Excision;
Lymph Nodes/surgery*;
Lymphatic Metastasis/pathology*;
Quality of Life;
Recurrent Laryngeal Nerve/pathology*;
Thoracic Neoplasms/pathology*
- From:
Chinese Journal of Oncology
2022;44(7):712-716
- CountryChina
- Language:Chinese
-
Abstract:
Esophageal cancer is one of the most common malignant tumors of digestive tract, lymph node metastasis is a frequently encountered metastasis in the esophageal cancer patients. The number of lymph node metastasis is reported as an important prognostic factor, and it also affects the choice of postoperative treatments in the esophageal cancer. It was reported that the recurrent laryngeal nerve lymph nodes are the most common sites of nodal metastasis and need to be completely dissected during the esophagectomy for thoracic esophageal cancers. Dissection of the lymph nodes along bilateral recurrent laryngeal nerves not only improves the accuracy of staging, but also improves postoperative survival of esophageal cancer patients due to reducing the local recurrence. However, it also brings problems such as injury of laryngeal recurrent nerves, and increases postoperative complications such as pulmonary complications and malnutrition due to aspiration and coughing. Therefore, it is necessary to preserve the structure and function of bilateral recurrent laryngeal nerves during esophagectomy through careful manipulations, and minimize the impact of complications in prognosis and quality of life from injury to the recurrent laryngeal nerve.
