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Attempt of peripheral nerve reconstruction during lung cancer surgery
BACKGROUND: Vagus nerve and recurrent laryngeal nerve (RLN) injury are not rare complications of lung cancer surgery and can cause lethal consequences. Until now, no optimal method other than paying greater attention during surgery has been available. METHODS: Four patients underwent lung surgery th...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons Australia, Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928356/ https://www.ncbi.nlm.nih.gov/pubmed/29498240 http://dx.doi.org/10.1111/1759-7714.12619 |
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author | Li, Hanyue Hu, Yingjie Huang, Jia Yang, Yunhai Xing, Kaichen Luo, Qingquan |
author_facet | Li, Hanyue Hu, Yingjie Huang, Jia Yang, Yunhai Xing, Kaichen Luo, Qingquan |
author_sort | Li, Hanyue |
collection | PubMed |
description | BACKGROUND: Vagus nerve and recurrent laryngeal nerve (RLN) injury are not rare complications of lung cancer surgery and can cause lethal consequences. Until now, no optimal method other than paying greater attention during surgery has been available. METHODS: Four patients underwent lung surgery that involved RLN or vagus nerve injury. The left RLN or vagus nerve was cut off and then reconstructed immediately during surgery. Two patients underwent direct anastomosis, while the remaining two underwent phrenic nerve replacing tension‐relieving anastomosis. RESULTS: All patients were able to speak immediately after recovery. No or minimal glottal gap was observed during laryngoscopy conducted on the second day after surgery. Most patients achieved full recovery of voice quality. CONCLUSIONS: Immediate reconstruction of RLN is technically feasible and can be carried out with satisfying short‐term and long‐term outcomes. |
format | Online Article Text |
id | pubmed-5928356 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley & Sons Australia, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-59283562018-05-07 Attempt of peripheral nerve reconstruction during lung cancer surgery Li, Hanyue Hu, Yingjie Huang, Jia Yang, Yunhai Xing, Kaichen Luo, Qingquan Thorac Cancer Original Articles BACKGROUND: Vagus nerve and recurrent laryngeal nerve (RLN) injury are not rare complications of lung cancer surgery and can cause lethal consequences. Until now, no optimal method other than paying greater attention during surgery has been available. METHODS: Four patients underwent lung surgery that involved RLN or vagus nerve injury. The left RLN or vagus nerve was cut off and then reconstructed immediately during surgery. Two patients underwent direct anastomosis, while the remaining two underwent phrenic nerve replacing tension‐relieving anastomosis. RESULTS: All patients were able to speak immediately after recovery. No or minimal glottal gap was observed during laryngoscopy conducted on the second day after surgery. Most patients achieved full recovery of voice quality. CONCLUSIONS: Immediate reconstruction of RLN is technically feasible and can be carried out with satisfying short‐term and long‐term outcomes. John Wiley & Sons Australia, Ltd 2018-03-02 2018-05 /pmc/articles/PMC5928356/ /pubmed/29498240 http://dx.doi.org/10.1111/1759-7714.12619 Text en © 2018 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Articles Li, Hanyue Hu, Yingjie Huang, Jia Yang, Yunhai Xing, Kaichen Luo, Qingquan Attempt of peripheral nerve reconstruction during lung cancer surgery |
title | Attempt of peripheral nerve reconstruction during lung cancer surgery |
title_full | Attempt of peripheral nerve reconstruction during lung cancer surgery |
title_fullStr | Attempt of peripheral nerve reconstruction during lung cancer surgery |
title_full_unstemmed | Attempt of peripheral nerve reconstruction during lung cancer surgery |
title_short | Attempt of peripheral nerve reconstruction during lung cancer surgery |
title_sort | attempt of peripheral nerve reconstruction during lung cancer surgery |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928356/ https://www.ncbi.nlm.nih.gov/pubmed/29498240 http://dx.doi.org/10.1111/1759-7714.12619 |
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