“Energy-less technique” with mini-clips for recurrent laryngeal nerve lymph node dissection in prone thoracoscopic esophagectomy for esophageal cancer

Hiroshi Saeki, Yuichiro Nakashima, Kosuke Hirose, Shun Sasaki, Tomoko Jogo, Daisuke Taniguchi, Keitaro Edahiro, Shotaro Korehisa, Kensuke Kudou, Ryota Nakanishi, Nobuhide Kubo, Kouji Andou, Akira Kabashima, Eiji Oki, Yoshihiko Maehara

Research output: Contribution to journalArticle

Abstract

Background: Meticulous recurrent laryngeal nerve (RLN) lymph node dissection in thoracoscopic esophagectomy for esophageal cancer often results in RLN paralysis. Methods: We had attempted to simply cut the vessels around RLN sharply with scissors without using energy device in order to prevent RLN paralysis. However, these procedures often result in minor bleeding. Since we introduced the use of mini-clips for hemostasis before cutting the vessels with scissors, we herein compared the surgical results between before and after the introduction of use of mini-clips. Results: With regard to RLN paralysis, the incidence was 24.0% in the before group; this incidence went down to 5.1% in the after group (P = 0.0259). Moreover, length of hospital stay after surgery was significantly shortened, from 36.1 days to 22.0 days, after the introduction of energy-less techniques with mini-clips (P = 0.0075). Conclusions: Our data demonstrated that this technique contributed to prevent RLN paralysis and to shorten the patient's length of hospital stay.

Original languageEnglish
Pages (from-to)1212-1214
Number of pages3
JournalAmerican Journal of Surgery
Volume216
Issue number6
DOIs
Publication statusPublished - Dec 1 2018

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Recurrent Laryngeal Nerve
Esophagectomy
Esophageal Neoplasms
Lymph Node Excision
Surgical Instruments
Vocal Cord Paralysis
Length of Stay
Incidence
Hemostasis
Hemorrhage
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Surgery

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“Energy-less technique” with mini-clips for recurrent laryngeal nerve lymph node dissection in prone thoracoscopic esophagectomy for esophageal cancer. / Saeki, Hiroshi; Nakashima, Yuichiro; Hirose, Kosuke; Sasaki, Shun; Jogo, Tomoko; Taniguchi, Daisuke; Edahiro, Keitaro; Korehisa, Shotaro; Kudou, Kensuke; Nakanishi, Ryota; Kubo, Nobuhide; Andou, Kouji; Kabashima, Akira; Oki, Eiji; Maehara, Yoshihiko.

In: American Journal of Surgery, Vol. 216, No. 6, 01.12.2018, p. 1212-1214.

Research output: Contribution to journalArticle

Saeki, H, Nakashima, Y, Hirose, K, Sasaki, S, Jogo, T, Taniguchi, D, Edahiro, K, Korehisa, S, Kudou, K, Nakanishi, R, Kubo, N, Andou, K, Kabashima, A, Oki, E & Maehara, Y 2018, '“Energy-less technique” with mini-clips for recurrent laryngeal nerve lymph node dissection in prone thoracoscopic esophagectomy for esophageal cancer', American Journal of Surgery, vol. 216, no. 6, pp. 1212-1214. https://doi.org/10.1016/j.amjsurg.2017.10.033
Saeki, Hiroshi ; Nakashima, Yuichiro ; Hirose, Kosuke ; Sasaki, Shun ; Jogo, Tomoko ; Taniguchi, Daisuke ; Edahiro, Keitaro ; Korehisa, Shotaro ; Kudou, Kensuke ; Nakanishi, Ryota ; Kubo, Nobuhide ; Andou, Kouji ; Kabashima, Akira ; Oki, Eiji ; Maehara, Yoshihiko. / “Energy-less technique” with mini-clips for recurrent laryngeal nerve lymph node dissection in prone thoracoscopic esophagectomy for esophageal cancer. In: American Journal of Surgery. 2018 ; Vol. 216, No. 6. pp. 1212-1214.
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AU - Saeki, Hiroshi

AU - Nakashima, Yuichiro

AU - Hirose, Kosuke

AU - Sasaki, Shun

AU - Jogo, Tomoko

AU - Taniguchi, Daisuke

AU - Edahiro, Keitaro

AU - Korehisa, Shotaro

AU - Kudou, Kensuke

AU - Nakanishi, Ryota

AU - Kubo, Nobuhide

AU - Andou, Kouji

AU - Kabashima, Akira

AU - Oki, Eiji

AU - Maehara, Yoshihiko

PY - 2018/12/1

Y1 - 2018/12/1

N2 - Background: Meticulous recurrent laryngeal nerve (RLN) lymph node dissection in thoracoscopic esophagectomy for esophageal cancer often results in RLN paralysis. Methods: We had attempted to simply cut the vessels around RLN sharply with scissors without using energy device in order to prevent RLN paralysis. However, these procedures often result in minor bleeding. Since we introduced the use of mini-clips for hemostasis before cutting the vessels with scissors, we herein compared the surgical results between before and after the introduction of use of mini-clips. Results: With regard to RLN paralysis, the incidence was 24.0% in the before group; this incidence went down to 5.1% in the after group (P = 0.0259). Moreover, length of hospital stay after surgery was significantly shortened, from 36.1 days to 22.0 days, after the introduction of energy-less techniques with mini-clips (P = 0.0075). Conclusions: Our data demonstrated that this technique contributed to prevent RLN paralysis and to shorten the patient's length of hospital stay.

AB - Background: Meticulous recurrent laryngeal nerve (RLN) lymph node dissection in thoracoscopic esophagectomy for esophageal cancer often results in RLN paralysis. Methods: We had attempted to simply cut the vessels around RLN sharply with scissors without using energy device in order to prevent RLN paralysis. However, these procedures often result in minor bleeding. Since we introduced the use of mini-clips for hemostasis before cutting the vessels with scissors, we herein compared the surgical results between before and after the introduction of use of mini-clips. Results: With regard to RLN paralysis, the incidence was 24.0% in the before group; this incidence went down to 5.1% in the after group (P = 0.0259). Moreover, length of hospital stay after surgery was significantly shortened, from 36.1 days to 22.0 days, after the introduction of energy-less techniques with mini-clips (P = 0.0075). Conclusions: Our data demonstrated that this technique contributed to prevent RLN paralysis and to shorten the patient's length of hospital stay.

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