“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, Koji Ando, Akira Kabashima, Eiji Oki, Yoshihiko Maehara

研究成果: ジャーナルへの寄稿記事

2 引用 (Scopus)

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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.

元の言語英語
ページ(範囲)1212-1214
ページ数3
ジャーナルAmerican Journal of Surgery
216
発行部数6
DOI
出版物ステータス出版済み - 12 2018

All Science Journal Classification (ASJC) codes

  • Surgery

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    Saeki, H., Nakashima, Y., Hirose, K., Sasaki, S., Jogo, T., Taniguchi, D., Edahiro, K., Korehisa, S., Kudou, K., Nakanishi, R., Kubo, N., Ando, 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, 216(6), 1212-1214. https://doi.org/10.1016/j.amjsurg.2017.10.033