Research progress on recurrent laryngeal para-lymph node dissection and functional protection of esophageal squamous cell carcinoma

doi:10.3877/cma.j.issn.2095-8773.2024.03.09

Abstract

Abstract:

Esophageal cancer is one of the most common malignancies, with high morbidity and mortality. In China, the most common histopathological type of esophageal cancer is esophageal squamous cell carcinoma (ESCC) . Lymph node recurrence and metastasis of ESCC are important factors affecting the prognosis and seriously affecting the long-term survival of patients. ESCC patients have a high rate of lymph node metastasis adjacent to the bilateral recurrent laryngeal nerves (RLNs) . Therefore, para-RLN lymph node dissection is the most important step in esophagectomy. However, the procedure may damage the RLNs and produce corresponding complications such as hoarseness. How to effectively perform lymph node dissection while preserving the function of RLNs is the main challenge in esophagectomy. In recent years, with the development of robot-assisted minimally invasive surgery, robot-assisted minimally invasive esophagectomy has been widely used. Therefore, the purpose of this review is to discuss the necessity of para-RLN lymph node dissection, relevant surgical advancements, risk factors associated with RLNs injury, and methods for esophageal cancer.

Key words: Esophageal squamous cell carcinoma, Recurrent laryngeal nerve, Lymph node dissection, Minimally invasive surgical procedures, Robotics

Ruizhen Wang, Xiaofeng Duan, Hongjing Jiang. Research progress on recurrent laryngeal para-lymph node dissection and functional protection of esophageal squamous cell carcinoma[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2024, 11(03): 201-207.

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