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RESEARCH PRODUCT
Recurrent laryngeal nerve paralysis (RLNP) following esophagectomy for carcinoma.
Th. JungingerA. KeilmannWerner KneistInes Gockelsubject
AdultMalemedicine.medical_specialtyEsophageal Neoplasmsmedicine.medical_treatmentLaryngoscopyRecurrent laryngeal nerveCarcinomaParalysisMedicineHumansAgedRetrospective Studiesmedicine.diagnostic_testLaryngoscopybusiness.industryCarcinomaRetrospective cohort studyGeneral MedicinePerioperativePneumoniaEsophageal cancerMiddle Agedmedicine.diseaseSurvival AnalysisSurgeryEsophagectomyOncologyEsophagectomyRecurrent Laryngeal Nerve InjuriesSurgeryFemalemedicine.symptombusinessVocal Cord Paralysisdescription
Abstract Background The aim of this study was to report the frequency of post-operative recurrent laryngeal nerve paralysis (RLNP) following resection for esophageal carcinoma. Patients and methods Four hundred and four patients were studied. Diagnosis of post-operative RLNP was performed by indirect laryngoscopy. Tumour characteristics, surgical approach and perioperative morbidity and mortality following esophageal resection were recorded. Results Sixty patients were diagnosed with post-operative RLNP, of whom 47 had a unilateral and 16 a bilateral lesion. RLNP was more frequently diagnosed after transhiatal resection with cervical esophagogastrostomy as compared to abdomino-thoracic resection ( p =0.06). A higher rate of post-operative pneumonia was evident in patients with RLNP (33 of 63 as opposed to 90 of 341; p =0.027). Conclusion RLNP is associated with a significant morbidity, especially pulmonary complications after resection of esophageal cancer.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2005-04-01 | European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology |