2013
DOI: 10.1007/s00268-013-2362-5
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Recurrent Laryngeal Nerve Monitoring during Thoracoscopic Esophagectomy

Abstract: Intraoperative RLN monitoring during thoracoscopic esophagectomy in the prone position, with one-lung ventilation performed using the TriVantage™ EMG tube and a bronchial blocker, is technically feasible, easy, and reliable.

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Cited by 24 publications
(22 citation statements)
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“…Although IONM of the RLN and one-lung ventilation could also be performed with other BB [16], the main advantage of the EZB compared to other BB is its Y-design, which shows similarities with the anatomic structure of the tracheobronchial tree. The Y-shaped distal part allows the EZB to anchor on the carina and leads to positional stability.…”
Section: Discussionmentioning
confidence: 99%
“…Although IONM of the RLN and one-lung ventilation could also be performed with other BB [16], the main advantage of the EZB compared to other BB is its Y-design, which shows similarities with the anatomic structure of the tracheobronchial tree. The Y-shaped distal part allows the EZB to anchor on the carina and leads to positional stability.…”
Section: Discussionmentioning
confidence: 99%
“…Noninvasive intraoperative neurological monitoring (IONM) may enable surgeons to identify and preserve the RLN. IONM is already widely used in thyroid surgery, and although its effectiveness for esophagectomy is not well recognized, several studies report lower RLNP and consequently lower pulmonary complication rates (8,20,(36)(37)(38). Therefore, the use of IONM may be considered for esophagectomy, particularly during high mediastinal lymph node dissection (10).…”
Section: Discussionmentioning
confidence: 99%
“…[19] BB also offer better visual fields: BB retain less gas, assuring lower degree of pulmonary expansion and a wider surgical visual field; whereas DLBT are double-lumen tubes with poor ventilation which can retain much larger quantities of gas. [20] However, there are disadvantages to BB use: as the exhaust pipe and sputum suction pipe on BB are relatively thin, it is necessary to open the cuff and then the exhaust port before OLV. Therewith air in the lung is then slowly eliminated, taking a longer time than DLBT.…”
Section: Discussionmentioning
confidence: 99%