To document the feasibility and significance of intraoperative nerve monitoring (IONM) during totally robot-assisted Ivor Lewis esophageal resection with extended 2-field lymph node dissection.
Key Findings:
IONM facilitated the identification of the recurrent laryngeal nerve during robot-assisted esophagectomy, potentially reducing postoperative complications.
The technique was shown to be technically feasible and safe.
Postoperative vocal cord function was monitored to assess nerve integrity, with implications for patient recovery.
Interpretation:
The use of IONM in robot-assisted esophagectomy may reduce the risk of vocal cord paresis and improve surgical outcomes.
Limitations:
The study is limited to a single institution, which may affect generalizability and introduce biases.
The sample size and follow-up duration were not specified.
Conclusion:
IONM is a promising technique for enhancing nerve identification during robot-assisted esophagectomy, potentially leading to better postoperative outcomes, warranting further validation in larger studies.
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