JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 22, Issue 2 (March 2017)
Japanese

Surgical procedures of left upper mediastinal lymphadenectomy in thoracoscopic esophagectomy in the prone position Makoto IWAHASHI 1 , Hiroshi TERASAWA 1 , Shinpei MARUOKA 1 , Osamu FUKIAGE 1 , Motoki YAMAMOTO 1 , Yasuhito KOBAYASHI 1 1Department of Surgery, Wakayama Rosai Hospital Keyword: 腹臥位胸腔鏡下食道切除 , 左反回神経麻痺 , 106recLリンパ節郭清 pp.247-252
Published Date 2017/3/15
DOI https://doi.org/10.11477/mf.4426200392
  • Abstract
  • Look Inside
  • Reference

Recently, in many institutes in Japan, thoracoscopic esophagectomy in the prone position has been employed for radical esophagectomy for patients with esophageal cancer. However, lymphadenectomy along the left recurrent laryngeal nerve has been thought to be a burdensome procedure because of the difficulty to obtain good operative field at the left upper mediastinum. We performed lymphadenectomy of this part without dividing the esophagus throughout this procedure. It allows the adequate tension of the left recurrent laryngeal nerve, resulting in avoiding nerve palsy. In fact, the incidence of recurrent nerve palsy was obviously low after the standardization of this procedure. We report our surgical procedures of left upper mediastinal lymphadenectomy to avoid left recurrent laryngeal nerve palsy.


Copyright © 2017, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

13446703.22.2.jpg
日本内視鏡外科学会雑誌
22巻2号 (2017年3月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

関連文献

もっと見る

文献を共有