ArticleSurgical endoscopy2020
Mesenteric excision of upper esophagus: a concept for rational anatomical lymphadenectomy of the recurrent laryngeal nodes in thoracoscopic esophagectomy.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Prophylactic supraclavicular lymph node dissection for esophageal squamous cell carcinoma: a systematic review and meta-analysis.Surgery today · 2023Pooled it
- Technical key points and short-term outcomes of fascia-guided radical esophagectomy: a single-center retrospective database analysis.Surgical endoscopy · 2026Article
- Feeding Duodenostomy Tube Placement After Minimally Invasive Esophagectomy with Posterior Mediastinal Reconstruction.Annals of surgical oncology · 2026Article
- Safe introduction of hinotori™ for robot-assisted minimally invasive esophagectomy as the second robotic system.Surgical endoscopy · 2026Article
- Short- and Long-term Outcomes of Robotic versus Conventional Minimally Invasive Esophagectomy for Esophageal Cancer: A Multicenter Propensity Score-matched Cohort Study.Annals of surgical oncology · 2026Article
- Tailoring the Extent of Lymphadenectomy for Esophageal Squamous Cell Carcinoma: Insights From a Comparative Study of Neoadjuvant Chemo-Immunotherapy and Surgery Cohort.Thoracic cancer · 2026Article
- ASO Author Reflections: Clinical Implications of Robot-Assisted Minimally Invasive Esophagectomy with Upper Mediastinal Dissection: Reduced Recurrent Laryngeal Nerve Palsy with Comparable Long-Term Outcomes.Annals of surgical oncology · 2026Article
- VIsceral sheath targeted approach for left recurrent laryngeal nerve lymphadenectomy during robot-assisted minimally invasive esophagectomy (VISTA approach).Surgical endoscopy · 2026Observational
- Thoracoscopic repair of Boerhaave's syndrome in the prone position: A novel left-sided minimally invasive approach.Esophagus : official journal of the Japan Esophageal Society · 2026Article
- A radiomics and machine learning-based method for dynamic assessment of tumor burden after neoadjuvant therapy in esophageal cancer.BMC cancer · 2026Article
- A Case of Extensive Airway Necrosis Following Esophagectomy Successfully Treated with Airway Stenting.Clinics and practice · 2025Article
- Prevention and Management of Recurrent Laryngeal Nerve Palsy in Minimally Invasive Esophagectomy: Current Status and Future Perspectives.Journal of clinical medicine · 2024Review
- Robotic esophagectomy with outermost layer-oriented dissection for esophageal cancer: technical aspects and a retrospective review of a single-institution database.Surgical endoscopy · 2023Article
- Impact of minimally invasive total mesoesophageal excision and minimally invasive esophagectomy on failure patterns of locally advanced esophageal squamous cell carcinoma: a matched cohort study with long-term follow-up.Surgical endoscopy · 2023Article
- Left recurrent nerve lymph node dissection in robotic esophagectomy for esophageal cancer without esophageal traction.World journal of surgical oncology · 2023Article
- Learning Curve of Robot-Assisted Lymph Node Dissection of the Left Recurrent Laryngeal Nerve: A Retrospective Study of 417 Patients.Annals of surgical oncology · 2023Article
- Primary tracheobronchial necrosis after esophagectomy: A nationwide multicenter retrospective study in Japan.Annals of gastroenterological surgery · 2023Article
- Application of Intraoperative Neuromonitoring (IONM) of the Recurrent Laryngeal Nerve during Esophagectomy: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2023Review
- Outcomes of minimally invasive total mesoesophageal excision: a propensity score-matched analysis.Surgical endoscopy · 2022Article
- Clinical Benefits of Routine Feeding Jejunostomy Tube Placement in Patients Undergoing Esophagectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe recurrent laryngeal nerve (RLN) lymph nodes are among the most frequently involved lymph nodes in esophageal cancer. Surgical removal of these lymph nodes is considered beneficial for postoperative prognosis, especially in patients with squamous cell carcinoma. Unfortunately, the precise surgical anatomy of the upper mediastinum is not well understood and no distinct high-resolution images are currently available.
methodsIn this article, we provide a simple intuitive concept of upper mediastinal surgical anatomy that could facilitate rational anatomical lymphadenectomy of the RLN lymph nodes. The essential concept of this mesenteric excision is to mobilize mesoesophagus including RLN in an en bloc fashion and to save RLN laterally by incising visceral sheath. This is applicable identically to both right and left upper mediastinum.
resultsBetween January 2009 and December 2017, thoracoscopic esophagectomy with upper mediastinal lymphadenectomy for primary esophageal cancer was performed in 189 patients. Median thoracoscopic procedure time was 297 (range 205-568) min and median intraoperative blood loss was 70 ml (range unmeasurable up to 2545 ml). Median number of harvested upper mediastinal lymph nodes was 12. Postoperative complication of Clavien-Dindo classification grade III or higher events was observed in 14% of patients. RLN palsy of grade II or higher occurred in 20 patients (11%).
conclusionThe mesoesophagus in the upper mediastinum is an anatomical unit surrounded by fibrous connective tissue containing the esophagus, trachea, tracheoesophageal vessels, lymphatic tissue, and RLNs. Thus, mesenteric excision of esophagus is defined to resect this area by sparing trachea and RLNs for rational anatomical lymphadenectomy. We believe that this concept makes upper mediastinal lymphadenectomy safer and more appropriate.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.