Clinical Outcome of Intraoperative Recurrent Laryngeal Nerve Monitoring during Thoracoscopic Esophagectomy and Mediastinal Lymph Node Dissection for Esophageal Cancer
Mediastinal lymph dissection in esophagectomy for patients with esophageal cancer is important. The dissection of recurrent laryngeal nerve (RLN) lymph nodes could cause RLN injury, vocal cord palsy, pneumonia, and respiratory failure. This retrospective study aimed to evaluate the effects of intrao...
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MDPI AG
2022-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/17/4949 |
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| author | Chang-Lun Huang Chun-Min Chen Wei-Heng Hung Ya-Fu Cheng Ruei-Ping Hong Bing-Yen Wang Ching-Yuan Cheng |
| author_facet | Chang-Lun Huang Chun-Min Chen Wei-Heng Hung Ya-Fu Cheng Ruei-Ping Hong Bing-Yen Wang Ching-Yuan Cheng |
| author_sort | Chang-Lun Huang |
| collection | DOAJ |
| description | Mediastinal lymph dissection in esophagectomy for patients with esophageal cancer is important. The dissection of recurrent laryngeal nerve (RLN) lymph nodes could cause RLN injury, vocal cord palsy, pneumonia, and respiratory failure. This retrospective study aimed to evaluate the effects of intraoperative RLN monitoring in esophagectomy and mediastinal lymph node dissection in preventing RLN injury and vocal cord palsy. This study included 75 patients who underwent minimally invasive esophagectomy and mediastinal lymph node dissection for esophageal cancer with (38 patients) and without (37 patients) IONM at Changhua Christian Hospital from 2015 to 2020. The surgical and clinical outcomes were reviewed. Patients in the IONM group had more advanced clinical T status, shorter operation time (570 vs. 633 min, <i>p</i> = 0.007), and less blood loss (100 mL vs. 150 mL, <i>p</i> = 0.019). The IONM group had significantly less postoperative vocal palsy (10.5% vs. 37.8%, <i>p</i> = 0.006) and pneumonia (13.2% vs. 37.8%, <i>p</i> = 0.014) than that in the non-IONM group. IONM was an independent factor for less postoperative vocal cord palsy that was related to postoperative 2-year survival. This study demonstrated that IONM could reduce the incidence of postoperative vocal cord palsy and pneumonia. |
| first_indexed | 2024-03-10T01:40:48Z |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T01:40:48Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-d8b90af77e374e3e9694c6c3978542cb2023-11-23T13:25:02ZengMDPI AGJournal of Clinical Medicine2077-03832022-08-011117494910.3390/jcm11174949Clinical Outcome of Intraoperative Recurrent Laryngeal Nerve Monitoring during Thoracoscopic Esophagectomy and Mediastinal Lymph Node Dissection for Esophageal CancerChang-Lun Huang0Chun-Min Chen1Wei-Heng Hung2Ya-Fu Cheng3Ruei-Ping Hong4Bing-Yen Wang5Ching-Yuan Cheng6Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanBig Data Center, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanMediastinal lymph dissection in esophagectomy for patients with esophageal cancer is important. The dissection of recurrent laryngeal nerve (RLN) lymph nodes could cause RLN injury, vocal cord palsy, pneumonia, and respiratory failure. This retrospective study aimed to evaluate the effects of intraoperative RLN monitoring in esophagectomy and mediastinal lymph node dissection in preventing RLN injury and vocal cord palsy. This study included 75 patients who underwent minimally invasive esophagectomy and mediastinal lymph node dissection for esophageal cancer with (38 patients) and without (37 patients) IONM at Changhua Christian Hospital from 2015 to 2020. The surgical and clinical outcomes were reviewed. Patients in the IONM group had more advanced clinical T status, shorter operation time (570 vs. 633 min, <i>p</i> = 0.007), and less blood loss (100 mL vs. 150 mL, <i>p</i> = 0.019). The IONM group had significantly less postoperative vocal palsy (10.5% vs. 37.8%, <i>p</i> = 0.006) and pneumonia (13.2% vs. 37.8%, <i>p</i> = 0.014) than that in the non-IONM group. IONM was an independent factor for less postoperative vocal cord palsy that was related to postoperative 2-year survival. This study demonstrated that IONM could reduce the incidence of postoperative vocal cord palsy and pneumonia.https://www.mdpi.com/2077-0383/11/17/4949esophageal canceresophagectomyintraoperative nerve monitoringrecurrent laryngeal nervevocal cord palsy |
| spellingShingle | Chang-Lun Huang Chun-Min Chen Wei-Heng Hung Ya-Fu Cheng Ruei-Ping Hong Bing-Yen Wang Ching-Yuan Cheng Clinical Outcome of Intraoperative Recurrent Laryngeal Nerve Monitoring during Thoracoscopic Esophagectomy and Mediastinal Lymph Node Dissection for Esophageal Cancer Journal of Clinical Medicine esophageal cancer esophagectomy intraoperative nerve monitoring recurrent laryngeal nerve vocal cord palsy |
| title | Clinical Outcome of Intraoperative Recurrent Laryngeal Nerve Monitoring during Thoracoscopic Esophagectomy and Mediastinal Lymph Node Dissection for Esophageal Cancer |
| title_full | Clinical Outcome of Intraoperative Recurrent Laryngeal Nerve Monitoring during Thoracoscopic Esophagectomy and Mediastinal Lymph Node Dissection for Esophageal Cancer |
| title_fullStr | Clinical Outcome of Intraoperative Recurrent Laryngeal Nerve Monitoring during Thoracoscopic Esophagectomy and Mediastinal Lymph Node Dissection for Esophageal Cancer |
| title_full_unstemmed | Clinical Outcome of Intraoperative Recurrent Laryngeal Nerve Monitoring during Thoracoscopic Esophagectomy and Mediastinal Lymph Node Dissection for Esophageal Cancer |
| title_short | Clinical Outcome of Intraoperative Recurrent Laryngeal Nerve Monitoring during Thoracoscopic Esophagectomy and Mediastinal Lymph Node Dissection for Esophageal Cancer |
| title_sort | clinical outcome of intraoperative recurrent laryngeal nerve monitoring during thoracoscopic esophagectomy and mediastinal lymph node dissection for esophageal cancer |
| topic | esophageal cancer esophagectomy intraoperative nerve monitoring recurrent laryngeal nerve vocal cord palsy |
| url | https://www.mdpi.com/2077-0383/11/17/4949 |
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