| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Surgery |
| Manuscript Type |
Retrospective Cohort Study |
| Article Title |
Novel technique for lymphadenectomy along left recurrent laryngeal nerve during thoracoscopic esophagectomy
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Wen-Shu Chen, Li-Huan Zhu, Wu-Jin Li, Peng-Jie Tu, Jian-Yuan Huang, Pei-Lin You and Xiao-Jie Pan |
| ORCID |
|
| Funding Agency and Grant Number |
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| Corresponding Author |
Wen-Shu Chen, MD, Associate Professor, Chief Doctor, Surgeon, Surgical Oncologist, Department of Thoracic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, No. 134 East Street, Fuzhou 350001, Fujian Province, China. doctorcws@163.com |
| Key Words |
Bilateral pedicled nerve flap; Bilateral exposure method; Hollow-out method; Left recurrent laryngeal nerve; Lymphadenectomy; Thoracoscopic esophagectomy |
| Core Tip |
Lymph nodes (LNs) along recurrent laryngeal nerves (RLNs) are highly involved in esophageal carcinoma. Due to limited working space in the superior mediastinum, lymphadenectomy along RLNs is very difficult, especially the left RLN. Our study provided a novel method for lymphadenectomy along the left RLN. The fundmental concept of the novel method was to exfoliate a bilateral pedicled nerve flap, which was a two-dimensional membrane including the left RLN, surrounding LNs, and tracheoesophageal vessels. Then, hollow-out method was performed to transform it to a three-dimensional structure, in which the left RLN and tracheoesophageal vessels could be easily distinguished and preserved during lymphadenectomy. Compared with the conventional method, the novel method not only increased the number of dissected LNs, but also shortened the operative time and reduced the rate of postoperative hoarseness. |
| Publish Date |
2020-03-28 13:10 |
| Citation |
Chen WS, Zhu LH, Li WJ, Tu PJ, Huang JY, You PY, Pan XJ. Novel technique for lymphadenectomy along left recurrent laryngeal nerve during thoracoscopic esophagectomy. World J Gastroenterol 2020;26(12): 1340-1351 |
| URL |
https://www.wjgnet.com/1007-9327/full/v26/i12/1340.htm |
| DOI |
https://dx.doi.org/10.3748/wjg.v26.i12.1340 |
