Preliminary dissection of recurrent laryngeal nerve during esophageal reconstruction for corrosive esophageal injury

Microsurgery ◽  
2020 ◽  
Vol 40 (7) ◽  
pp. 825-826
Author(s):  
Gokhan Sert ◽  
Shih‐Heng Chen ◽  
Dicle Yasar Aksoyler ◽  
Hung‐Chi Chen
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Laryngeal Nerve ◽  
Esophageal Reconstruction ◽  
Esophageal Injury ◽  
Corrosive Esophageal Injury

scholarly journals Preoperative CT Colonoscopy for Esophageal Reconstruction with Colonic Interposition.

2020 ◽  
Author(s):  
Prasit Mahawongkajit ◽  
Nuttorn Boochangkool
Keyword(s):  
Colorectal Cancer ◽  
Evaluation Method ◽  
Esophageal Reconstruction ◽  
Esophageal Injury ◽  
Average Risk ◽  
Colonic Interposition ◽  
Cancer Group ◽  
Injury Group ◽  
Preoperative Ct ◽  
Corrosive Esophageal Injury

Abstract Background Colonic evaluation is an essential step before proceeding with esophagectomy to reconstruct by colonic interposition. Colonoscopy is the standard practice for colorectal cancer screening, but it has a chance of failing cecal intubation and carries a risk of horrific complication by colonic perforation. CT colonography is a less invasive alternative method that has been reported as useful for colonoscopic screening in cases of average risk of colorectal cancer. This study set out to report our clinical experience and to evaluate CT colonoscopy in the preoperative process for colonic interposition of esophagectomy patients. Methods Data for esophagectomy with colonic interposition patients between March 2016 and December 2019 was retrospectively analyzed. Results Nineteen patients were included in this study with 13 in the esophageal cancer group and 6 in the corrosive esophageal injury group. The majority of conduits used ileocolonic graft. After colonic interposition, endoscopy was performed and no lesions of conduits were detected. Conclusion CT colonoscopy is a minimally invasive and reliable colonic evaluation method for the patient of average colorectal cancer risk who has undergone esophagectomy with colonic interposition.

Surgical Experience and Learning Points in the Management of Foregut Duplication Cysts

2017 ◽  
Vol 28 (06) ◽  
pp. 515-521 ◽  
Author(s):  
Alberto Scarpa ◽  
Ashok Ram ◽  
Giampiero Soccorso ◽  
Michael Singh ◽  
Dakshesh Parikh
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Thoracoscopic Surgery ◽  
Length Of Hospital Stay ◽  
Laryngeal Nerve ◽  
Esophageal Injury ◽  
Chest Drain ◽  
Accidental Injury ◽  
Mortality And Morbidity ◽  
Common Wall ◽  
Learning Points

Background Foregut duplication cysts (FDC) have unpredictable natural course and rarely remain asymptomatic. We present our large cohort of FDC to highlight surgical learning points and outcome. Materials and Methods Review of 41 children with FDC (April 1997–April 2015) included demographics, clinical presentation, preoperative investigations, surgical management, post-operative complications, and overall outcome. Results Forty-one children (26 girls/15 boys; male/female [M/F] ratio 1:1.7) had 43 FDC (two cases >1 cyst) consisting of antenatally diagnosed 16 (39%), late with symptoms 21 (51.2%), and incidental 4(9.8%) cases. FDC locations were cervical (3), mediastinal (35), and subdiaphragmatic (5). During all cervical FDC resection, recurrent laryngeal nerve was required to be dissected off the cyst wall. Thoracoscopic resection was feasible in 27 cases, with 4 conversions related to infections and adhesions or accidental injury to trachea/esophagus. Complete resection was achieved in all cases with no recurrence. There was no mortality and morbidity included, chylothorax (1) esophageal injury (1), phrenic nerve injury (1), and tracheal injury (2). The minimally invasive surgery and surgery on asymptomatic lesions significantly affect the outcome by reducing need for chest drain (p = 0.01) and length of hospital stay (p = 0.04). Conclusion This retrospective study confirms the efficacy and safety of thoracoscopic surgery; important learning points were association of common wall with trachea in some superior mediastinal cysts and association of recurrent laryngeal nerve in cervical FDC.

Erratum: Recurrent Laryngeal Nerve Dissection

1980 ◽  
Vol 45 (3) ◽  
Author(s):  
Frank B. Wilson ◽  
D. J. Oldring ◽  
Kathleen Mueller
Keyword(s):  
Case Report ◽  
Recurrent Laryngeal Nerve ◽  
Laryngeal Nerve ◽  
Long Period ◽  
Initial Surgery

On page 112 of the report by Wilson, Oldring, and Mueller ("Recurrent Laryngeal Nerve Dissection: A Case Report Involving Return of Spastic Dysphonia after Initial Surgery," pp. 112-118), the paraphrase from Cooper (1971), "if the patients are carefully selected and are willing to remain in therapy for a long period of time," was inadvertantly put in quotation marks.

The contribution of the recurrent laryngeal nerve in the motor innervation of the human cricopharyngeal muscle

1998 ◽  
Vol 23 (4) ◽  
pp. 377-377 ◽  
Author(s):  
Brok ◽  
Stroeve ◽  
Copper ◽  
B.W. Ongerboer De Visser ◽  
Schouwenburg
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Laryngeal Nerve ◽  
Motor Innervation ◽  
Cricopharyngeal Muscle

Short- and Long-Term Results of Total vs Subtotal Thyroid- ectomies in the Surgical Treatment of Graves' Disease

Swiss Surgery ◽  
2001 ◽  
Vol 7 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Robert ◽  
Mariéthoz ◽  
Pache ◽  
Bertin ◽  
Caulfield ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Long Term Results ◽  
Graves Disease ◽  
Laryngeal Nerve Palsy ◽  
Short And Long Term

Objective: Approximately one out of five patients with Graves' disease (GD) undergoes a thyroidectomy after a mean period of 18 months of medical treatment. This retrospective and non-randomized study from a teaching hospital compares short- and long-term results of total (TT) and subtotal thyroidectomies (ST) for this disease. Methods: From 1987 to 1997, 94 patients were operated for GD. Thirty-three patients underwent a TT (mostly since 1993) and 61 a ST (keeping 4 to 8 grams of thyroid tissue - mean 6 g). All patients had received propylthiouracil and/or neo-mercazole and were in a euthyroid state at the time of surgery; they also took potassium iodide (lugol) for ten days before surgery. Results: There were no deaths. Transient hypocalcemia (< 3 months) occurred in 32 patients (15 TT and 17 ST) and persistent hypocalcemia in 8 having had TT. Two patients developed transient recurrent laryngeal nerve palsy after ST (< 3 months). After a median follow-up period of seven years (1-15) with five patients lost to follow-up, 41 patients having had a ST are in a hypothyroid state (73%), thirteen are euthyroid (23%), and two suffered recurrent hyperthyroidism, requiring completion of thyroidectomy. All 33 patients having had TT - with follow-ups averaging two years (0.5-8) - are receiving thyroxin substitution. Conclusions: There were no instances of persistent recurrent laryngeal nerve palsy in either group, but persistent hypoparathyroidism occurred more frequently after TT. Long after ST, hypothyroidism developed in nearly three of four cases, whereas euthyroidy was maintained in only one-fourth; recurrent hyperthyroidy was rare.

Technique of recurrent laryngeal nerve liberation for phonation recovery

2018 ◽  
Author(s):  
Radan Dzodic ◽  
Ivan Markovic ◽  
Nada Santrac ◽  
Marko Buta ◽  
Silvana Lukic
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Laryngeal Nerve
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