Cargando…

Comparative study of three types of lymphadenectomy along the left recurrent laryngeal nerve by minimally invasive esophagectomy

BACKGROUND: The objective of this study was to compare three kinds of lymphadenectomy methods along the recurrent laryngeal nerve (RLN) and assess the safety and effectiveness of the new method. METHODS: A total of 194 patients with esophageal cancer who underwent minimally invasive esophagectomy (M...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Shuangping, Zhang, Peng, Guo, Shiping, Lian, Jianhong, Chen, Yun, Chen, Ailan, Ma, Yong, Li, Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6997020/
https://www.ncbi.nlm.nih.gov/pubmed/31860783
http://dx.doi.org/10.1111/1759-7714.13210
_version_ 1783493609854599168
author Zhang, Shuangping
Zhang, Peng
Guo, Shiping
Lian, Jianhong
Chen, Yun
Chen, Ailan
Ma, Yong
Li, Feng
author_facet Zhang, Shuangping
Zhang, Peng
Guo, Shiping
Lian, Jianhong
Chen, Yun
Chen, Ailan
Ma, Yong
Li, Feng
author_sort Zhang, Shuangping
collection PubMed
description BACKGROUND: The objective of this study was to compare three kinds of lymphadenectomy methods along the recurrent laryngeal nerve (RLN) and assess the safety and effectiveness of the new method. METHODS: A total of 194 patients with esophageal cancer who underwent minimally invasive esophagectomy (MIE) at our institution from May 2013 to May 2017 were analyzed retrospectively. According to the method of lymphadenectomy along the left RLN, the patients were divided into three groups: 75 cases underwent the conventional method (A group), 80 cases the skeletonized method (B group) and 39 cases the modified Bascule method (C group). The number of dissected lymph nodes and surgical outcomes were recorded and compared to identify differences among the three groups. RESULTS: The frequency of metastasis to the LRLN lymph node was 18.6% among all patients, and 12%, 20% and 28% in groups A, B and C, respectively. The number of harvested lymph nodes (total/chest/LRLN/LRLN+) in group B and group C were significantly greater than that of group A, but not significant between group B and group C. The hoarseness rate in group C was 15.4%, which was lower than the rate in group B (21.3%) and higher than the rate in group A (13.3%), but there was no statistical significance. CONCLUSIONS: The new method for lymphadenectomy along the left RLN during MIE in the semi‐prone position is safe and reliable. It provides sufficient lymph node dissection along the left RLN.
format Online
Article
Text
id pubmed-6997020
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher John Wiley & Sons Australia, Ltd
record_format MEDLINE/PubMed
spelling pubmed-69970202020-02-05 Comparative study of three types of lymphadenectomy along the left recurrent laryngeal nerve by minimally invasive esophagectomy Zhang, Shuangping Zhang, Peng Guo, Shiping Lian, Jianhong Chen, Yun Chen, Ailan Ma, Yong Li, Feng Thorac Cancer Original Articles BACKGROUND: The objective of this study was to compare three kinds of lymphadenectomy methods along the recurrent laryngeal nerve (RLN) and assess the safety and effectiveness of the new method. METHODS: A total of 194 patients with esophageal cancer who underwent minimally invasive esophagectomy (MIE) at our institution from May 2013 to May 2017 were analyzed retrospectively. According to the method of lymphadenectomy along the left RLN, the patients were divided into three groups: 75 cases underwent the conventional method (A group), 80 cases the skeletonized method (B group) and 39 cases the modified Bascule method (C group). The number of dissected lymph nodes and surgical outcomes were recorded and compared to identify differences among the three groups. RESULTS: The frequency of metastasis to the LRLN lymph node was 18.6% among all patients, and 12%, 20% and 28% in groups A, B and C, respectively. The number of harvested lymph nodes (total/chest/LRLN/LRLN+) in group B and group C were significantly greater than that of group A, but not significant between group B and group C. The hoarseness rate in group C was 15.4%, which was lower than the rate in group B (21.3%) and higher than the rate in group A (13.3%), but there was no statistical significance. CONCLUSIONS: The new method for lymphadenectomy along the left RLN during MIE in the semi‐prone position is safe and reliable. It provides sufficient lymph node dissection along the left RLN. John Wiley & Sons Australia, Ltd 2019-12-20 2020-02 /pmc/articles/PMC6997020/ /pubmed/31860783 http://dx.doi.org/10.1111/1759-7714.13210 Text en © 2019 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/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Zhang, Shuangping
Zhang, Peng
Guo, Shiping
Lian, Jianhong
Chen, Yun
Chen, Ailan
Ma, Yong
Li, Feng
Comparative study of three types of lymphadenectomy along the left recurrent laryngeal nerve by minimally invasive esophagectomy
title Comparative study of three types of lymphadenectomy along the left recurrent laryngeal nerve by minimally invasive esophagectomy
title_full Comparative study of three types of lymphadenectomy along the left recurrent laryngeal nerve by minimally invasive esophagectomy
title_fullStr Comparative study of three types of lymphadenectomy along the left recurrent laryngeal nerve by minimally invasive esophagectomy
title_full_unstemmed Comparative study of three types of lymphadenectomy along the left recurrent laryngeal nerve by minimally invasive esophagectomy
title_short Comparative study of three types of lymphadenectomy along the left recurrent laryngeal nerve by minimally invasive esophagectomy
title_sort comparative study of three types of lymphadenectomy along the left recurrent laryngeal nerve by minimally invasive esophagectomy
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6997020/
https://www.ncbi.nlm.nih.gov/pubmed/31860783
http://dx.doi.org/10.1111/1759-7714.13210
work_keys_str_mv AT zhangshuangping comparativestudyofthreetypesoflymphadenectomyalongtheleftrecurrentlaryngealnervebyminimallyinvasiveesophagectomy
AT zhangpeng comparativestudyofthreetypesoflymphadenectomyalongtheleftrecurrentlaryngealnervebyminimallyinvasiveesophagectomy
AT guoshiping comparativestudyofthreetypesoflymphadenectomyalongtheleftrecurrentlaryngealnervebyminimallyinvasiveesophagectomy
AT lianjianhong comparativestudyofthreetypesoflymphadenectomyalongtheleftrecurrentlaryngealnervebyminimallyinvasiveesophagectomy
AT chenyun comparativestudyofthreetypesoflymphadenectomyalongtheleftrecurrentlaryngealnervebyminimallyinvasiveesophagectomy
AT chenailan comparativestudyofthreetypesoflymphadenectomyalongtheleftrecurrentlaryngealnervebyminimallyinvasiveesophagectomy
AT mayong comparativestudyofthreetypesoflymphadenectomyalongtheleftrecurrentlaryngealnervebyminimallyinvasiveesophagectomy
AT lifeng comparativestudyofthreetypesoflymphadenectomyalongtheleftrecurrentlaryngealnervebyminimallyinvasiveesophagectomy