Quality control for lymph node dissection around the recurrent laryngeal nerve in robot-assisted esophagectomy
10.12354/j.issn.1000-8179.2024.20240840
- VernacularTitle:机器人辅助食管癌切除术喉返神经旁淋巴结清扫与质量控制
- Author:
Duan XIAOFENG
1
;
Yue JIE
1
;
Wang RUIZHEN
1
;
Jiang HONGJING
1
Author Information
1. 天津医科大学肿瘤医院食管肿瘤微创外科,国家肿瘤临床医学研究中心,天津市"肿瘤防治"重点实验室,天津市恶性肿瘤临床医学研究中心,天津市300060
- Publication Type:Journal Article
- Keywords:
esophageal cancer;
lymph node dissection;
recurrent laryngeal nerve (RLN);
Da Vinci robotic surgery system;
quality control
- From:
Chinese Journal of Clinical Oncology
2024;51(20):1061-1065
- CountryChina
- Language:Chinese
-
Abstract:
Mediastinal lymph node metastasis in esophageal squamous cell carcinoma is associated with a high metastasis rate and surgical difficulty. Minimally invasive surgical techniques,such as laparoscopy,allow for precise lymph node dissection in esophageal cancer with guidance for microanatomy. Different surgical concepts,including mesonephrectomy and the "concentric circle" anatomical model,have been proposed by scholars. The use of Da Vinci robots in esophageal surgery is advantageous over traditional laparoscopy in facilitating up-per mediastinal lymph node dissection and protecting recurrent laryngeal nerve (RLN) function. Based on the experience of our center,we explore robot-assisted lymph node dissection and quality control for esophageal cancer adjacent to the RLN,which can further standardize lymph node dissection in the upper mediastinum and improve perioperative quality of life and long-term survival.
