BACKGROUND: The objectives of this study were to assess the incidence of recurrent @entity2895 (RLNP) using laryngoscopy after esophagectomy for @entity418 and to clarify the risk factors influencing postoperative RLNP. METHODS: A total of 299 @entity1 who underwent laryngoscopic examination after esophagectomy were retrospectively reviewed. @entity1 who were found to have postoperative RLNP were followed up every 1-3  months, with a median follow-up period of 3  months. Recovery from paralysis was also evaluated on the basis of each affected nerve. Multivariate analyses using logistic regression were used to identify independent risk factors for RLNP. Cumulative recovery rate was calculated using Kaplan-Meier method. RESULTS: A total of 178 (59.5  %) @entity1 were diagnosed with RLNP by first laryngoscopy [bilateral in 59 (33.1  %) @entity1 , right in 15 (8.4  %), and left in 104 (58.4  %)]. In 206 @entity1 who underwent transthoracic and thoracoscopic esophagectomy, independent risk factors for RLNP were lymph node dissection along the right RLN (odds ratio [OR] 3.01, 95  % confidence interval [CI] 1.06-8.54, P  =  0.04) and cervical @entity254 (OR 5.94, 95  % CI 1.78-19.80, P  <  0.01). Cumulative recovery rate from RLNP was 61.7  % at 12  months after esophagectomy with 91 nerves eventually recovering from paralysis. Median recovery time was 6  months. CONCLUSIONS: RLNP developed in 60  % of @entity1 after esophagectomy and may be associated with lymphadenectomy around the right RLN and cervical esophageal mobilization. Although 62  % of affected nerves recovered within 12  months, great attention should be given when performing these procedures.

Risk Factors and Clinical Outcomes of Recurrent @entity2895 After Esophagectomy for XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity418 :: ('MESH:D004938', 'Disease') :: ['thoracic esophageal carcinoma'] @entity2895 :: ('MESH:D015840', 'Disease') :: ['laryngeal nerve paralysis']
@entity418 :: (MESH:D004938,Disease) :: ['Thoracic Esophageal Carcinoma']
