Ikeda Yoshifumi, Niimi Masanori, Kan Shigenao, Takami Hiroshi, Kodaira Susumu
Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Ann Thorac Surg. 2002 Apr;73(4):1329-31. doi: 10.1016/s0003-4975(01)03593-7.
Although thoracoscopic techniques have been introduced to esophageal surgery, the identification of the left recurrent laryngeal nerve and lymph node dissection along the nerve remain quite difficult. A mediastinoscopic technique via the neck enables an excellent visual field to be created in the upper mediastinum, especially near the left recurrent laryngeal nerve. Therefore, a thoracoscopic esophagectomy combined with this technique allows mediastinal lymph nodes along the left recurrent laryngeal nerve to be easily and safely dissected.
尽管胸腔镜技术已被引入食管手术，但识别左喉返神经并沿该神经进行淋巴结清扫仍然相当困难。经颈部的纵隔镜技术能够在上纵隔，特别是在左喉返神经附近创造极佳的视野。因此，胸腔镜食管切除术结合该技术可使沿左喉返神经的纵隔淋巴结得以轻松、安全地清扫。
