Usefulness of Posterior Mediastinal Reconstruction After Esophagectomy in Case of Esophageal Cancer with Palsy of Recurrent Laryngeal Nerve
In cases of esophageal cancer, metastasis to the lymph nodes alongside the recurrent laryngeal nerve (RLN) is found in high incidence, namely 25%. Palsy of the RLN may develop after the dissection of these nodes, even if the nerves were preserved surgically. In patients with metastasis to these nodes, the palsy of the RLN is observed before operation. Functional changes in the pharynx and cervical esophagus after the reconstruction of the intrathoracic esophagus have not yet been reported. To find an appropriate reconstructive procedure in the cases of esophageal cancer with palsy of the RLN, postoperative swallowing function was examined quantitatively by scintigraphy in the patients who had undergone a reconstruction via various routes.
KeywordsEsophageal Cancer Recurrent Laryngeal Nerve Recurrent Laryngeal Nerve Palsy Cervical Esophagus Posterior Mediastinal
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