Recurrent @entity2895 (RLNP) after esophagectomy is a common complication and associated with @entity1174 . In this study, we assessed the risk of RLNP and the usefulness of immediate reconstruction of recurrent laryngeal nerve (RLN) to prevent @entity1576 after esophagectomy. Seven hundred and eighty-two consecutive @entity1 underwent an esophagectomy with three-field lymph node dissection, simultaneous gastric conduit reconstruction, and cervical @entity254 . Vocal cord function was observed using a flexible laryngoscope. Reconstruction between RLN and ipsilateral vagus nerve was performed during esophagectomy. RLNP was observed in 229 (29.3%) of the @entity1 after esophagectomy: 198 unilateral and 31 bilateral cases. Of the 198 unilateral RLNP, @entity3746 was observed predominantly on the left side (82.7%). RLNP was significantly associated with @entity260 (P < 0.001) requiring a tracheotomy (P < 0.001) and mechanical ventilation (P < 0.001) and was also associated with esophagogastric anastomotic leakage (P = 0.015); consequently, the postoperative hospital stay was longer for @entity1 with RLNP (P < 0.001). A longer operation time (P < 0.001) and advanced age (P = 0.038) were identified as significant independent predictors of RLNP. Resection of the RLN together with metastatic nodes was performed in 29 cases. The @entity1 underwent RLN reconstruction (n = 11) had a significantly shorter postoperative hospital stay than those without RLN reconstruction (n = 18) (P = 0.019). In conclusion, RLNP was related to a poorer postoperative course among @entity1 undergoing an esophagectomy. New surgical technologies are recommended for prevention of RLNP.

Recurrent XXXX after Esophagectomy: Respiratory Complications and Role of Nerve Reconstruction.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative respiratory complications'] @entity2895 :: ('MESH:D015840', 'Disease') :: ['laryngeal nerve paralysis'] @entity1174 :: ('MESH:D011015', 'Disease') :: ['aspiration pneumonia'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory complications'] @entity3746 :: ('MESH:D014826', 'Disease') :: ['vocal cord paralysis']
@entity2895 :: (MESH:D015840,Disease) :: ['Laryngeal Nerve Paralysis']
