Lin Miao, Shen Yaxing, Wang Hao, Feng Mingxiang, Tan Lijie
Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
J Vis Surg. 2016 Oct 20;2:164. doi: 10.21037/jovs.2016.10.02. eCollection 2016.
Minimally invasive esophagectomy (MIE) has become increasingly important in the treatment for resectable esophageal cancer. However, it's still controversial about the effects of recurrent laryngeal nerve (RLN) lymph node dissection in MIE. Patient was placed in the lateral prone position. RLN lymph node dissection was performed in MIE. MIE can get comparable results of RLN lymph node dissection as open surgery. The number of dissected lymph nodes is 9.8±4.3 pieces and the time of lymphadenectomy is about 24 mins. RLN lymph node dissection is feasible and safe in MIE. The helpful surgical techniques include clear exposure of RLN, good collaboration with assistant, esophageal suspension, and so on.
微创食管切除术（MIE）在可切除食管癌的治疗中变得越来越重要。然而，MIE中喉返神经（RLN）淋巴结清扫的效果仍存在争议。患者取侧俯卧位。在MIE中进行RLN淋巴结清扫。MIE在RLN淋巴结清扫方面可获得与开放手术相当的结果。清扫淋巴结数量为9.8±4.3枚，淋巴结清扫时间约为24分钟。MIE中RLN淋巴结清扫是可行且安全的。有用的手术技巧包括清晰暴露RLN、与助手良好协作、食管悬吊等。
