Recurrent laryngeal nerve monitoring during totally robot-assisted Ivor Lewis esophagectomy.

Journal: Langenbeck's archives of surgery
PMID: 32970189

Abstract

PURPOSE: The robot-assisted approach for Ivor Lewis esophagectomy offers an enlarged, three-dimensional overview of the intraoperative situs. The vagal nerve (VN) can easily be detected, preserved, and intentionally resected below the separation point of the recurrent laryngeal nerve (RLN). However, postoperative vocal cord paresis can result from vagal or RLN injury during radical lymph node dissection, presenting a challenge to the operating surgeon.

Authors

  • J I Staubitz
    Department of General, Visceral and Transplantation Surgery, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
  • P C van der Sluis
    Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. p.c.vanderSluis-2@umcutrecht.nl.
  • F Berlth
    Department of General, Visceral and Transplantation Surgery, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
  • F Watzka
    Department of General, Visceral and Transplantation Surgery, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
  • F Dette
    Department of Anesthesiology, University Medical Center, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
  • A Läßig
    Communication Disorders Division, Department of Otorhinolaryngology, University Medical Center Mainz, Johannes Gutenberg University Mainz, 55131, Mainz, Germany.
  • H Lang
    Department of General, Visceral and Transplantation Surgery, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
  • T J Musholt
    Section of Endocrine Surgery, Department of General, Visceral and Transplantation Surgery, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
  • P P Grimminger
    Department of General, Visceral and Transplantation Surgery, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany. peter.grimminger@unimedizin-mainz.de.

Keywords

External Resources

Popular Topics
Recent Journals