Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
J Thorac Cardiovasc Surg. 2010 Sep;140(3):578-82. doi: 10.1016/j.jtcvs.2010.01.045. Epub 2010 May 15.
This study evaluated the safety and efficacy of intraoperative recurrent laryngeal nerve monitoring during surgery for left lung cancer.
From April 2008 to April 2009, a total of 25 patients at high risk for left recurrent laryngeal nerve injury agreed to and underwent intraoperative recurrent laryngeal nerve monitoring during surgery for left lung cancer in our hospital. Results and clinical records were reviewed.
All the patients' left recurrent laryngeal nerves were identified during operation by intraoperative recurrent laryngeal nerve monitoring. Twenty-four patients retained normal left recurrent laryngeal nerves after the operation. One patient, in whom part of the left recurrent laryngeal nerve was found to be invaded, underwent single-stage nerve anastomosis under recurrent laryngeal nerve monitoring after the invaded nerve was resected. There were no significant intraoperative or postoperative complications among the other patients.
Intraoperative recurrent laryngeal nerve monitoring during thoracotomy is a safe and effective way of identifying the nerve. It may help surgeons to avoid injuring the recurrent laryngeal nerve during some thoracic procedures.
本研究评估了术中喉返神经监测在左侧肺癌手术中的安全性和有效性。
2008 年 4 月至 2009 年 4 月，共有 25 例左侧喉返神经损伤高危患者同意并在我院接受了左侧肺癌手术中的术中喉返神经监测。回顾了结果和临床记录。
所有患者的左侧喉返神经均通过术中喉返神经监测在手术中被识别。24 例患者术后保留正常左侧喉返神经。1 例患者部分左侧喉返神经受侵，在切除受侵神经后，在喉返神经监测下进行了一期神经吻合术。其他患者均无明显术中或术后并发症。
胸腔镜手术中喉返神经监测是一种安全有效的识别神经的方法。它可能有助于外科医生在某些胸部手术中避免损伤喉返神经。
