Successful esophageal carcinoma resection with intraoperative neuromonitoring in a patient with non-recurrent inferior laryngeal nerve

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• 作者：Kotaro Yamashita ; Hiroshi Miyata ; Takashi Kanemura ; Yasuhiro Miyazaki…
• 关键词：Esophageal cancer ; Intraoperative neuromonitoring ; Non ; recurrent inferior laryngeal nerve ; Aberrant right subclavian artery
• 刊名：Esophagus
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：13
• 期：1
• 页码：97-103
• 全文大小：1,020 KB
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• 作者单位：Kotaro Yamashita (1)
  Hiroshi Miyata (1)
  Takashi Kanemura (1)
  Yasuhiro Miyazaki (1)
  Tomoki Makino (1)
  Tsuyoshi Takahashi (1)
  Yukinori Kurokawa (1)
  Makoto Yamasaki (1)
  Kiyokazu Nakajima (1)
  Shuji Takiguchi (1)
  Masaki Mori (1)
  Yuichiro Doki (1)
  
  1. Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita City, 565-0871, Osaka, Japan
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Gastroenterology
  Pathology
  Thoracic Surgery
  Surgical Oncology
  Oncology
  
• 出版者：Springer Japan
• ISSN：1612-9067

文摘

Right non-recurrent inferior laryngeal nerve is a rare nerve anomaly that communicates the right vagal nerve trunk to the laryngeal nerve directly in the neck, and is usually accompanied by an aberrant right subclavian artery. We report a case of thoracic esophagectomy with intraoperative neuromonitoring undertaken in a patient with these abnormalities. This case report concerns a 66-year-old man with thoracic esophageal carcinoma who was referred to our hospital. An aberrant right subclavian artery that gave us a prediction of a right non-recurrent inferior laryngeal nerve was detected preoperatively using computed tomography, and identified visually with intraoperative neuromonitoring. Identification of this nerve anomaly during cervical lymph node dissection was considered important to avoid unexpected neural injuries. For a successful esophagectomy with lymph node dissection in patients with this anomaly, intraoperative neuromonitoring for the non-recurrent inferior laryngeal nerve may provide a useful contribution to surgical safety. Keywords Esophageal cancer Intraoperative neuromonitoring Non-recurrent inferior laryngeal nerve Aberrant right subclavian artery