Complications following recurrent laryngeal nerve lymph node dissection in oesophageal cancer surgery

Taniyama, Yusuke; Miyata, Go; Kamei, Takashi; Nakano, Toru; Abe, S.; Katsura, Koji; Sakurai, Tadashi; Teshima, Jin; Hikage, Makoto; Ohuchi, Norikaki

doi:10.1093/icvts/ivu336

Cited by 56 publications

(65 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings were confirmed in more recent studies, all demonstrating an increase in pulmonary complications after esophagectomy complicated by RLNP (9,10,20,24). Similarly to our results, Koyanagi et al (10) found an association between RLNP and prolonged hospital stay.…”

Section: Discussionsupporting

confidence: 93%

“…The results of this study regarding short-term complications after RLN injury during esophagectomy are in line with current literature (9,10,20,23,24). The first study published on this topic found higher rates of pulmonary complications after RLNP, leading to a higher reintubation rate, and consequently a prolonged ventilation time and longer ICU stay (23).…”

Section: Discussionsupporting

confidence: 87%

“…For 6/21 of these patients surgical intervention (medialization thyroplasty) was required. All treatment interventions for vocal cord paralysis were conducted after a median time of 16.5 [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] months after esophagectomy. Of all patients that underwent medialization thyreoplasty, 3/6 had no more RLNP symptoms afterwards 2/6 made a partial recovery from their RLNP, and 1/6 did not recover.…”

Section: Functional Outcomesmentioning

confidence: 99%

“…The incidence of RLNP after esophagectomy varies, ranging from 0% to 59% (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). These disparities have been attributed to variation in extent of lymph node dissection, surgical technique (two-or three stage), the size and T-stage of the primary tumor, and the means of RLN injury diagnosis (8,(19)(20)(21).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Recurrent laryngeal nerve injury after esophagectomy for esophageal cancer: incidence, management, and impact on short- and long-term outcomes

Scholtemeijer¹,

Seesing²,

Brenkman³

et al. 2017

J. Thorac. Dis.

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 87%

Section: Functional Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Recurrent laryngeal nerve injury after esophagectomy for esophageal cancer: incidence, management, and impact on short- and long-term outcomes

Scholtemeijer¹,

Seesing²,

Brenkman³

et al. 2017

J. Thorac. Dis.

View full text Add to dashboard Cite

show abstract

“…However, these studies included patients with both ESCC and esophagus adenocarcinoma, or they did not independently explored the risk factors for RLNLN metastases. RLNLN is one of the most common metastatic sites in esophageal cancer (9,23 Pneumonia, bacterial infection and pleural effusion were grouped together as pulmonary complication. RLN, recurrent laryngeal nerve.…”

Section: Discussionmentioning

confidence: 99%

Recurrent laryngeal nerve lymph node dissection may not be suitable for all early stage esophageal squamous cell carcinoma patients: an 8-year experience

Lin

Chen

et al. 2016

J. Thorac. Dis.

View full text Add to dashboard Cite

Background: Recurrent laryngeal nerve (RLN) injury is one of the most frequent postoperative complications of esophageal squamous cell carcinoma (ESCC) radical resection. This study aims to develop a novel scoring system to predict recurrent laryngeal nerve lymph node (RLNLN) metastases in early ESCC and explore the indications for precise RLN lymphadenectomy. Results: A total of 311 cases selected from 1,466 ESCC patients were divided into the dissection group and the control group. Age, tumor length, macroscopic tumor type, T stage, tumor location and tumor differentiation were independent predictors of RLNLN metastases. The weighted scoring system included age (+2 for <56 years), tumor length (+2 for over 4.45 cm), tumor location (+4 for upper thoracic, +2 for mid-thoracic) and macroscopic tumor type (+1 for advanced type). The total number of points estimated the probability of RLNLN metastases [low-risk (0-2 point), 0%; moderate-risk (3-4 points), 9.8%; and highrisk (>4 points), 43.4%]. Besides, the dissection group had more complications and similar survival rate when compared with the control group.Conclusions: We developed a novel scoring system that accurately estimated the risk of RLNLN metastases in early ESCC patients. RLN lymphadenectomy may be safely omitted for the patients in the low-risk subgroup.

show abstract

Risk factors and long‐term postoperative outcomes in patients with postoperative dysphagia after esophagectomy for esophageal cancer

Sugase

Miyata

Sugimura

et al. 2022

Annals of Gastroent Surgery

View full text Add to dashboard Cite

Aim: Dysphagia is one of the most common complications after esophagectomy.However, no study has investigated the long-term postoperative outcomes in patients with postoperative dysphagia. Here, we aimed to identify risk factors for postoperative dysphagia and to investigate long-term postoperative outcomes in such patients.Methods: This study included 304 consecutive patients with thoracic esophageal cancer who underwent curative esophagectomy. They were diagnosed with postoperative dysphagia through a contrast videofluoroscopic swallowing study, and postoperative outcomes were compared based on swallowing function. Results:In total, 112 patients (37%) were diagnosed with postoperative dysphagia.Older age, low BMI, and recurrent laryngeal nerve palsy were identified as independent risk factors for postoperative dysphagia. In the dysphagia group, a significantly larger number of patients developed in-hospital pneumonia, and hospital stays were also significantly extended. After discharge, 37 (33%) patients with postoperative dysphagia developed pneumonia. Even more than 1 year after esophagectomy, a significantly larger number of patients (24 patients, 21%) with postoperative dysphagia developed pneumonia compared to those without postoperative dysphagia.Postoperative dysphagia was identified as an independent risk factor for out-ofhospital pneumonia. Regarding nutritional status, there was no difference in weight loss 1 year after esophagectomy, but significant weight loss was observed 2 years after esophagectomy in the dysphagia group. Conclusion:Postoperative dysphagia was associated with both preoperative patient factors and surgical factors. Moreover, patients with postoperative dysphagia had long-term and short-term pneumonia risk. The personalization of long-term follow-up through more aggressive rehabilitation and nutritional guidance is required for patients with postoperative dysphagia.

show abstract

Complications following recurrent laryngeal nerve lymph node dissection in oesophageal cancer surgery

Cited by 56 publications

References 15 publications

Recurrent laryngeal nerve injury after esophagectomy for esophageal cancer: incidence, management, and impact on short- and long-term outcomes

Recurrent laryngeal nerve injury after esophagectomy for esophageal cancer: incidence, management, and impact on short- and long-term outcomes

Recurrent laryngeal nerve lymph node dissection may not be suitable for all early stage esophageal squamous cell carcinoma patients: an 8-year experience

Risk factors and long‐term postoperative outcomes in patients with postoperative dysphagia after esophagectomy for esophageal cancer

Contact Info

Product

Resources

About