RT Journal Article
SR Electronic
T1 Short- and Long-term Progress of Recurrent Laryngeal Nerve Paralysis After Subtotal Esophagectomy
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 2019
OP 2023
VO 37
IS 4
A1 HIROKI SHIMIZU
A1 ATSUSHI SHIOZAKI
A1 HITOSHI FUJIWARA
A1 HIROTAKA KONISHI
A1 TOSHIYUKI KOSUGA
A1 SHUHEI KOMATSU
A1 DAISUKE ICHIKAWA
A1 KAZUMA OKAMOTO
A1 EIGO OTSUJI
YR 2017
UL http://ar.iiarjournals.org/content/37/4/2019.abstract
AB Aim: To clarify risk factors and long-term progress of postoperative recurrent laryngeal nerve paralysis (PRNP) in patients with esophageal cancer. Patients and Methods: One hundred and twenty-five esophageal cancer patients, who underwent subtotal esophagetomy, including recurrent laryngeal nerve lymphadenectomy, were analyzed. A laryngoscopy was routinely performed to assess the motility of vocal cords. Results: PRNP was detected in 79 patients and 26 (20.8%) patients required medical interventions (Grade II or more by the Clavien-Dindo classification; group II). Forty-one of 66 (62.1%) patients recovered from PRNP with a median postoperative time of 135 days. The three-field lymphadenectomy and long operative time were the independent prognostic factors of group II. Conclusion: Radical operation caused PRNP with grade II or more. The long-term follow-up of vocal cords was necessary to detect patients with either transient or permanent PRNP.