Successful esophageal carcinoma resection with intraoperative neuromonitoring in a patient with non-recurrent inferior laryngeal nerve

Yamashita, Kotaro; Miyata, Hiroshi; Kanemura, Takashi; Miyazaki, Yasuhiro; Makino, Tomoki; Takahashi, Tsuyoshi; Kurokawa, Yukinori; Yamasaki, Makoto; Nakajima, Kiyokazu; Takiguchi, Shuji; Mori, Masaki; Doki, Yuichiro

doi:10.1007/s10388-015-0493-5

Cited by 4 publications

(5 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This preoperative treatment may cause inflammation, edema, and fibrosis of the periesophageal tissues, resulting in difficulty in the identification of RLN. Moreover, an anomaly of the RLN or subclavian artery, for example non-reccurent type, may lead to failure to identify the RLN (21)(22). For such circumstances, IONM may be an effective navigation tool.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A Strategy for Using Intraoperative Nerve Monitoring During Esophagectomy to Prevent Recurrent Laryngeal Nerve Palsy

Yuda

Nishikawa

Takahashi

et al. 2018

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

“…This results in visual and aural signals of electromyographic activity. To date, there have been only sporadic reports on IONM during esophageal cancer surgery (17)(18)(19)(20)(21).…”

Section: Cases With the Predominance Of Left Rln Palsy (N=12) Conclmentioning

confidence: 99%

A Strategy for Using Intraoperative Nerve Monitoring During Esophagectomy to Prevent Recurrent Laryngeal Nerve Palsy

Yuda

Nishikawa

Takahashi

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Nerve monitoring proves to be especially useful in instances of variant anatomy, such as a non-RLN or an aberrant subclavian artery. In such situations, the usual visual landmarks for identification are not present, making nerve monitoring a valuable tool for identifying and preserving the recurrent nerve [ 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Nerve Monitoring during Minimally Invasive Esophagectomy and 3-Field Lymphadenectomy: Safety, Efficacy, and Feasibility

et al. 2023

View full text Add to dashboard Cite

Background The objective of this study was to demonstrate the safety, efficacy, and feasibility of intraoperative monitoring of the recurrent laryngeal nerves during thoracoscopic and robotic 3-field esophagectomy. Methods This retrospective analysis details our initial experience using intraoperative nerve monitoring (IONM) during minimally invasive 3-field esophagectomy. Data were obtained from a prospectively maintained database and electronic medical records. The study included all patients who underwent minimally invasive (video-assisted thoracic surgery/robotic) transthoracic esophagectomy with neck anastomosis. The patients were divided into those who underwent IONM during the study period and a historical cohort who underwent 3-field esophagectomy without IONM at the same institution. Appropriate statistical tests were used to compare the 2 groups. Results Twenty-four patients underwent nerve monitoring during minimally invasive 3-field esophagectomy. Of these, 15 patients underwent thoraco-laparoscopic operation, while 9 received a robot-assisted procedure. In the immediate postoperative period, 8 of 24 patients (33.3%) experienced vocal cord paralysis. Relative to a historical cohort from the same institution, who were treated with surgery without nerve monitoring in the preceding 5 years, a 26% reduction was observed in the nerve paralysis rate (p=0.08). On follow-up, 6 of the 8 patients with vocal cord paralysis reported a return to normal vocal function. Additionally, patients who underwent IONM exhibited a higher nodal yield and a decreased frequency of tracheostomy and bronchoscopy. Conclusion The use of IONM during minimally invasive 3-field esophagectomy is safe and feasible. This technique has the potential to decrease the incidence of recurrent nerve palsy and increase nodal yield.

show abstract

“…The lymph node yield has shown to be higher, this has been demonstrated previously and re-con rmed in our study. Another area, where nerve monitoring can be extremely useful is when there is variant anatomy such as a non-recurrent laryngeal nerve or an aberrant subclavian artery, in these cases the usual landmarks for visual identi cation are absent and hence nerve monitoring has been demonstrated to be helpful to identify and preserve the recurrent nerve (34,35).…”

Section: Discussionmentioning

confidence: 99%

Intraoperative nerve monitoring during minimally invasive esophagectomy and 3-field lymphadenectomy: Safety, efficacy and feasibility

Gopinath

Jiwnani

Valiyuthan

et al. 2022

Preprint

View full text Add to dashboard Cite

Purpose To demonstrate the safety, efficacy and feasibility of intraoperative monitoring of the recurrent laryngeal nerves during thoracoscopic and robotic 3-field esophagectomies. Methods This is a retrospective analysis of our initial experience with intra operative nerve monitoring during minimally invasive 3-field esophagectomies. Data were obtained from a prospectively maintained database and electronic medical records. To compare outcomes between IONM and non IONM group Fischer’s exact test was used. All patients underwent a minimally invasive(VATS/Robotic) transthoracic esoohagectomy with a neck anastomosis (McKeown procedure). Intraoperative nerve monitoring was carried out under general anesthesia with assisted ventilation and avoiding use of neuromuscular blockers during the period of nerve monitoring. Results 24 patients underwent nerve monitoring during minimally invasive 3-field esophagectomy. 15 patients were operated thoraco-laparosopically and 9 patients underwent a robotic-assisted procedure. 8/24 (33.3%) patients had vocal cord paresis in the immediate post op period. When we compared this to a historical cohort operated in the preceding 5 years in the same institution, we demonstrated a 26% reduction in nerve palsy rate(p-0.08). On follow-up, 6/8 patients reported returning to a normal voice. Conclusions Intra-operative neuro monitoring (IONM) is feasible during minimally invasive 3- field esophagectomy. Using this can potentially lead to a reduced rate of recurrent nerve palsies and a higher nodal yield.

show abstract

Successful esophageal carcinoma resection with intraoperative neuromonitoring in a patient with non-recurrent inferior laryngeal nerve

Cited by 4 publications

References 22 publications

A Strategy for Using Intraoperative Nerve Monitoring During Esophagectomy to Prevent Recurrent Laryngeal Nerve Palsy

A Strategy for Using Intraoperative Nerve Monitoring During Esophagectomy to Prevent Recurrent Laryngeal Nerve Palsy

Intraoperative Nerve Monitoring during Minimally Invasive Esophagectomy and 3-Field Lymphadenectomy: Safety, Efficacy, and Feasibility

Intraoperative nerve monitoring during minimally invasive esophagectomy and 3-field lymphadenectomy: Safety, efficacy and feasibility

Contact Info

Product

Resources

About