术中神经监测应用于非复发喉下神经伴异常右锁骨下动脉食管癌的安全切除。

IF 0.6 4区医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Acta medica Okayama Pub Date : 2025-04-01 DOI:10.18926/AMO/68654

Yasushige Takeda, Kazuhiro Noma, Naoaki Maeda, Yohei Mizusawa, Hijiri Matsumoto, Yuhei Kondo, Tomoyoshi Kunitomo, Yukinori Tanoue, Masashi Hashimoto, Shunsuke Tanabe, Toshiyoshi Fujiwara

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引用次数: 0

摘要

在胸段食管癌中，喉返神经周围的淋巴结清扫是至关重要的，但会造成神经麻痹的风险，影响术后的生活质量。在右侧锁骨下动脉（ARSA）异常的病例中，右侧喉返神经缺失，非喉返下神经（NRILN）直接从颈部迷走神经进入喉部。确定NRILN的病程对于避免受伤至关重要。本文描述了一例食管癌伴ARSA的病例，在手术期间使用神经完整性监测（NIM）系统保存了NRILN的过程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Safe Resection of Esophageal Cancer with a Non-Recurrent Inferior Laryngeal Nerve Associated with an Aberrant Right Subclavian Artery Using Intraoperative Nerve Monitoring.

In thoracic esophageal cancer, lymph node dissection around the recurrent laryngeal nerve is crucial but poses a risk of nerve palsy, affecting postoperative quality of life. In cases with an aberrant right subclavian artery (ARSA), the right recurrent laryngeal nerve is absent, and the non-recurrent inferior laryngeal nerve (NRILN) enters the larynx directly from the vagus nerve in the cervical region. Identifying the course of the NRILN is vital to avoid injury. A case of esophageal cancer with an ARSA, in which the course of the NRILN was preserved using the Nerve Integrity Monitoring (NIM) system during surgery, is described.

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来源期刊

Acta medica Okayama 医学-医学：研究与实验

CiteScore

1.00

自引率

0.00%

发文量

110

审稿时长

6-12 weeks

期刊介绍： Acta Medica Okayama (AMO) publishes papers relating to all areas of basic and clinical medical science. Papers may be submitted by those not affiliated with Okayama University. Only original papers which have not been published or submitted elsewhere and timely review articles should be submitted. Original papers may be Full-length Articles or Short Communications. Case Reports are considered if they describe significant and substantial new findings. Preliminary observations are not accepted.