Attempt of peripheral nerve reconstruction during lung cancer surgery.

Abstract:

BACKGROUND:Vagus nerve and recurrent laryngeal nerve (RLN) injury are not rare complications of lung cancer surgery and can cause lethal consequences. Until now, no optimal method other than paying greater attention during surgery has been available. METHODS:Four patients underwent lung surgery that involved RLN or vagus nerve injury. The left RLN or vagus nerve was cut off and then reconstructed immediately during surgery. Two patients underwent direct anastomosis, while the remaining two underwent phrenic nerve replacing tension-relieving anastomosis. RESULTS:All patients were able to speak immediately after recovery. No or minimal glottal gap was observed during laryngoscopy conducted on the second day after surgery. Most patients achieved full recovery of voice quality. CONCLUSIONS:Immediate reconstruction of RLN is technically feasible and can be carried out with satisfying short-term and long-term outcomes.

journal_name

Thorac Cancer

journal_title

Thoracic cancer

authors

Li H,Hu Y,Huang J,Yang Y,Xing K,Luo Q

doi

10.1111/1759-7714.12619

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

580-583

issue

5

eissn

1759-7706

issn

1759-7714

journal_volume

9

pub_type

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