Ann Surg: Recurrent laryngeal nerve monitoring can improve the effect of lymph node dissection during esophageal cancer resection

Bilateral recurrent laryngeal nerve (RLN) lymph nodes are considered to be the lymph nodes with a high incidence of esophageal cancer metastasis

The occurrence of the primary tumor site and depth of invasion, metastasis incidence RLN esophageal squamous cell carcinoma (ESCC) fluctuations in 8.

Improving Outcome of Superior Mediastinal Lymph Node Dissection During Esophagectomy: A Novel Approach Combining Continuous and Intermittent Recurrent Laryngeal Nerve Monitoring

Improving Outcome of Superior Mediastinal Lymph Node Dissection During Esophagectomy: A Novel Approach Combining Continuous and Intermittent Recurrent Laryngeal Nerve Monitoring

This is a retrospective study designed to clarify the effect and learning curve of combined intermittent and continuous recurrent laryngeal nerve monitoring (CNM) for lymph node dissection during esophageal cancer resection

CNM example

CNM example

The study included ESCC patients who underwent transthoracic esophageal cancer resection from 2010 to 2020.

The amount of RLN lymph node dissection and the incidence of vocal cord paralysis before and after CNM application

The amount of RLN lymph node dissection and the incidence of vocal cord paralysis before and after CNM application

A total of 255 patients were included, of which 157 patients belonged to the "CNM" group

The average number of RLN lymph nodes in the "CNM" group was significantly higher than that in the "pre-CNM" group (4.

In summary, CNM helps to improve the effect of bilateral RLN lymph node dissection, and at the same time significantly reduces the incidence of vocal cord damage

Original source:

Wong Ian YH,Zhang Rui Qi,Tsang Raymond KY et al.

Improving Outcome of Superior Mediastinal Lymph Node Dissection During Esophagectomy: A Novel Approach Combining Continuous and Intermittent Recurrent Laryngeal Nerve Monitoring

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