ArticleSurgical endoscopy2016
Preserving the pulmonary vagus nerve branches during thoracoscopic esophagectomy.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 34 citations in OpenAlex.
- Optimizing perioperative care in esophagectomy: a narrative review.Journal of thoracic disease · 2026Review
- The distress of psychological adaptation in nutritional management among people after esophagectomy: an interpretative phenomenological study.Frontiers in nutrition · 2026Article
- Advances in vagus nerve management strategies in thoracoscopic lung resections: a narrative review.Journal of thoracic disease · 2025Review
- "One Size Doesn't Fit All": Nutrition Care Needs in Esophageal and Gastric Cancer Survivors-A Qualitative Study.Nutrients · 2025Article
- Evaluating Postoperative Morbidity and Outcomes of Robotic-Assisted Esophagectomy in Esophageal Cancer Treatment-A Comprehensive Review on Behalf of TROGSS (The Robotic Global Surgical Society) and EFISDS (European Federation International Society for Digestive Surgery) Joint Working Group.Current oncology (Toronto, Ont.) · 2025Review
- Robotic esophagectomy with function-preserving radical mediastinal lymphadenectomy for esophageal cancer.Annals of gastroenterological surgery · 2025Review
- Electrical vagus nerve stimulation is a promising approach to reducing pulmonary complications after an esophagectomy: an experimental rodent model.Immunologic research · 2024Article
- Review
- Preservation of the pulmonary branches of the vagus nerve during three-dimensional thoracoscopic radical resection of lung cancer: a retrospective study.BMC surgery · 2024Article
- A Comparison of Two Methods of Pre-operative Inspiratory Muscle Training on Post-operative Outcome Following Esophagectomy.Indian journal of surgical oncology · 2023Article
- Article
- Safety and efficacy of vagus nerve preservation technique during minimally invasive esophagectomy.Annals of translational medicine · 2022Article
- Application of Vagus Nerve Branch Preservation in Thoracoscopic Surgery for Early-Stage Lung Cancer.BioMed research international · 2022Article
- Perioperative safety and short-term efficacy of functional minimally invasive esophagectomy.The Journal of international medical research · 2021Article
- Early Respiratory Impairment and Pneumonia after Hybrid Laparoscopically Assisted Esophagectomy-A Comparison with the Open Approach.Journal of clinical medicine · 2020Article
- Robotic-assisted minimally invasive esophagectomy: past, present and future.Journal of thoracic disease · 2020Review
- Ivor Lewis esophagectomy patients are particularly vulnerable to respiratory impairment - a comparison to major lung resection.Scientific reports · 2019Article
- The clinical value of a new method of functional lymph node dissection in video-assisted thoracic surgery right non-small cell lung cancer radical resection.Journal of thoracic disease · 2019Article
- New insights into the surgical anatomy of the esophagus.Journal of thoracic disease · 2017Review
- Robot-assisted minimally invasive esophagectomy.Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPulmonary vagus branches are transected as part of a transthoracic esophagectomy and lymphadenectomy for cancer. This may contribute to the development of postoperative pulmonary complications. Studies in which sparing of the pulmonary vagus nerve branches during thoracoscopic esophagectomy is investigated are lacking. Therefore, this study aimed to determine the feasibility and pitfalls of sparing pulmonary vagus nerve branches during thoracoscopic esophagectomy.
methodsIn 10 human cadavers, a thoracoscopic esophagectomy was performed while sparing the pulmonary vagus nerve branches. The number of intact nerve branches, their distribution over the lung lobes and the number and location of the remaining lymph nodes in the relevant esophageal lymph node stations (7, 10R and 10L) were recorded during microscopic dissection.
resultsA median of 9 (range 5-16) right pulmonary vagus nerve branches were spared, of which 4 (0-12) coursed to the right middle/inferior lung lobe. On the left side, 10 (3-12) vagus nerve branches were spared, of which 4 (2-10) coursed to the inferior lobe. In 8 cases, lymph nodes were left behind, at stations 10R and 10L while sparing the vagus nerve branches. Lymph nodes at station 7 were always removed.
conclusionsSparing of pulmonary vagus nerve branches during thoracoscopic esophagectomy is feasible. Extra care should be given to the dissection of peribronchial lymph nodes, station 10R and 10L.
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