fig2

Cause of recurrent laryngeal nerve paralysis following esophageal cancer surgery and preventive surgical technique along the left recurrent laryngeal nerve

Figure 2. Dissection of lymph nodes around the left RLN. A: the esophagus was cut and the upper side mobilized and sewn to the chest wall; B: by compressing and rolling the trachea, we expanded the operative field of view on the left side and initiated lymph node dissection; C: using the glossy membrane as a landmark on the ventral side, we peeled off the adipose tissue including lymph nodes and proceeded cranially; D: the tissue to be dissected was peeled up behind the RLN; E: hemostasis was achieved by clipping the tracheoesophageal artery; F: connective tissue behind the RLN was cut to complete lymph node dissection around the left RLN. Ao: aorta; ESO: esophagus; TR: trachea; RLN: recurrent laryngeal nerve

Mini-invasive Surgery
ISSN 2574-1225 (Online)
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