Usefulness of intraoperative nerve monitoring in esophageal cancer surgery in predicting recurrent laryngeal nerve palsy and its severity

2019 ◽  
Vol 67 (12) ◽  
pp. 1075-1080 ◽  
Author(s):  
Takashi Kanemura ◽  
Hiroshi Miyata ◽  
Makoto Yamasaki ◽  
Tomoki Makino ◽  
Yasuhiro Miyazaki ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Cancer Surgery ◽  
Nerve Monitoring ◽  
Laryngeal Nerve Palsy ◽  
Esophageal Cancer Surgery ◽  
Intraoperative Nerve Monitoring

Risk of recurrent laryngeal nerve palsy in patients undergoing thyroidectomy with and without intraoperative nerve monitoring

2016 ◽  
Vol 103 (13) ◽  
pp. 1828-1838 ◽  
Author(s):  
A. Bergenfelz ◽  
A. F. Salem ◽  
H. Jacobsson ◽  
E. Nordenström ◽  
M. Almquist ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Nerve Monitoring ◽  
Laryngeal Nerve Palsy ◽  
Intraoperative Nerve Monitoring

Intraoperative nerve monitoring during esophagectomy reduces the risk of recurrent laryngeal nerve palsy

2021 ◽  
Author(s):  
Masami Yuda ◽  
Katsunori Nishikawa ◽  
Yoshitaka Ishikawa ◽  
Keita Takahashi ◽  
Takanori Kurogochi ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Nerve Monitoring ◽  
Laryngeal Nerve Palsy ◽  
Intraoperative Nerve Monitoring

213 CLINICAL SIGNIFICANCE OF ROBOTIC ESOPHAGECTOMY FOR THORACIC ESOPHAGEAL CANCER

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Hiroya Takeuchi ◽  
Hirotoshi Kikuchi ◽  
Yoshihiro Hiramatsu ◽  
Tomohiro Matsumoto ◽  
Wataru Soneda ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Recurrent Laryngeal Nerve ◽  
Clinical Significance ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Short Term ◽  
Invasive Esophagectomy ◽  
Laryngeal Nerve Palsy ◽  
Robotic Esophagectomy

Abstract   Nowadays many patients with esophageal cancer are treated with thoracoscopic esophagectomy (TE) with precise mediastinal lymphadenectomy as a minimally invasive esophagectomy (MIE) in Japan. These advanced endoscopic surgeries are believed to contribute to early postoperative recovery. More recently robotic esophagectomy (RE) appeared attractively. To date, however, there has been a very limited number of comparison studies to verify the benefits of RE for esophageal cancer, especially in Japan where squamous cell carcinoma is predominant. Methods We retrospectively compared the short-term outcomes between TE (n = 43) and RE (n = 19) which were performed in our institution between 2018 and 2020 to verify the clinical significance of RE. Preoperative background factors of the patients compared were almost identical between the two groups. Results The operative time was longer in the RE group than in the OE group, whereas blood loss was equivalent between the two groups. There was no significant differences in the number of dissected mediastinal lymph nodes between the TE and RE groups (33+/−15 vs 29+/−11). The incidence of postoperative recurrent laryngeal nerve palsy was markedly less in the RE group than the TE group (5.2% vs. 18.6%). Moreover, the incidence of postoperative pneumonia also tended to be less in the RE group than in the TE group (5.2% vs. 11.6%). There were no operative mortality in the two groups. Conclusion Our results suggest that RE is comparable with conventional TE in terms of short-term outcome after surgery, and beneficial to technically reduce the recurrent laryngeal nerve palsy as a promising MIE.

scholarly journals Clinical Study of Recurrent Laryngeal Nerve Palsy after Thyroid Cancer Surgery

2011 ◽  
Vol 23 (1) ◽  
pp. 30-32
Author(s):  
Takashi Taniyama ◽  
Mamika Araki ◽  
Kouhei Fukukita ◽  
Tomohito Fuke ◽  
Hiroyuki Yamada
Keyword(s):  
Thyroid Cancer ◽  
Clinical Study ◽  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Cancer Surgery ◽  
Laryngeal Nerve Palsy

scholarly journals Continuous intraoperative nerve monitoring in thyroidectomy using automatic periodic stimulation in 256 at-risk nerves

2019 ◽  
Vol 101 (6) ◽  
pp. 432-435 ◽  
Author(s):  
N Hamilton ◽  
H Morley ◽  
M Haywood ◽  
S Arman ◽  
G Mochloulis
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Vocal Cord ◽  
Predictive Value ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Nerve Function ◽  
Nerve Monitoring ◽  
Laryngeal Nerve Palsy ◽  
Periodic Stimulation

Introduction Automatic periodic stimulation of the vagal nerve during thyroidectomy provides real-time feedback of recurrent laryngeal nerve function intraoperatively. To assess the validity of this device, the ability of monitoring to predict recurrent laryngeal nerve palsy was determined and the incidence of recurrent laryngeal nerve palsy recorded. Materials and methods All thyroidectomies using APS® (Automatic Periodic Stimulation, Medtronic) nerve monitoring were reviewed over a 27-month period. Changes in signal amplitude and latency during thyroidectomy were recorded from saved data. Postoperative fibreoptic laryngoscopy determined the incidence of vocal cord immobility and recovery of nerve function was assessed from follow-up letters. Results A total of 256 at-risk nerves were examined (132 hemi- and 62 total thyroidectomies) in cases involving benign and malignant disease. Permanent recurrent laryngeal nerve palsy occurred in six (2.3%) lobectomies and transient recurrent laryngeal nerve palsy occurred in two lobectomies (< 1%). Sensitivity for detecting postoperative vocal cord immobility was 100% and specificity 85% if the end amplitude was 50% below baseline. The positive predictive value when amplitude was 50% below baseline was 18%. The negative predictive value when amplitude was 50% above or equal to baseline was 100%. Intraoperatively, the amplitude was 50% below baseline more frequently in the vocal cord immobility group (t-test, P < 0.015). No vagal nerve complications occurred. Conclusion Whilst the incidence of recurrent laryngeal nerve palsy is comparable to rates in the literature, the incidence of transient palsy is lower than published averages. APS is able to reliably predict recurrent laryngeal nerve palsy based on end amplitude.

Recurrent laryngeal nerve palsy after thyroid cancer surgery: a laryngological and surgical problem

2001 ◽  
Vol 258 (9) ◽  
pp. 460-462 ◽  
Author(s):  
M. Misiolek ◽  
J. Waler ◽  
G. Namyslowski ◽  
M. Kucharzewski ◽  
A. Podwinski ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Cancer Surgery ◽  
Laryngeal Nerve Palsy
Sign in / Sign up

Export Citation Format

Share Document