What Are the Most Effective Strategies for Recurrent Laryngeal Nerve Preservation in Robotic Thyroidectomy for Advanced Thyroid Cancer?: A Comprehensive Review
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The recurrent laryngeal nerve (RLN) plays a critical role in maintaining vocal function, and its preservation during thyroid cancer surgery is essential for optimal patient outcomes. This review examines current techniques for RLN preservation, including intraoperative nerve monitoring, sharp dissection, and nerve reconstruction. Additionally, it explores the role of robot-assisted thyroidectomy, particularly the bilateral axillo-breast approach, in enhancing RLN preservation. Advancements in surgical technology and techniques are discussed, along with their implications for future practice. By synthesizing existing evidence, this review aims to guide surgeons in achieving both oncological safety and functional preservation.
Abstract
The recurrent laryngeal nerve (RLN) plays a critical role in maintaining vocal function, and its preservation during thyroid cancer surgery is essential for optimal patient outcomes. This review examines current techniques for RLN preservation, including intraoperative nerve monitoring, sharp dissection, and nerve reconstruction. Additionally, it explores the role of robot-assisted thyroidectomy, particularly the bilateral axillo-breast approach, in enhancing RLN preservation. Advancements in surgical technology and techniques are discussed, along with their implications for future practice. By synthesizing existing evidence, this review aims to guide surgeons in achieving both oncological safety and functional preservation.
참고문헌 (25)
- Masuoka H, "Intraoperative management of the recurrent laryngeal nerve transected or invaded by thyroid cancer", Front Endocrinol(Lausanne), 13, pp.884866~ (2022)
- Chen J, "Preoperative voice analysis and survival outcomes in papillary thyroid cancer with recurrent laryngeal nerve invasion", Front Endocrinol(Lausanne), 13, pp.1041538~ (2022)
- Głód M, "Analysis of risk factors for phonation disorders after thyroid surgery", Biomedicines, 10, pp.2280~ (2022)
- He Y, "Predicting recurrent laryngeal nerve invasion by preoperative ultrasonography in patients with thyroid carcinoma", Quant Imaging Med Surg, 13, pp.7002~7011 (2023)
- Miyamaru S, "Optimal management of the unilateral recurrent laryngeal nerve involvement in patients with thyroid cancer", Cancers(Basel), 13, pp.2129~ (2021)
- Deniwar A, "Electrophysiological neural monitoring of the laryngeal nerves in thyroid surgery : review of the current literature", Gland Surg, 4, pp.368~375 (2015)
- Barczyński M, "Clinical validation of NerveTrend versus conventional i-IONM mode of NIM Vital in prevention of recurrent laryngeal nerve events during bilateral thyroid surgery : a randomized controlled trial", Head Neck, 46, pp.492~502 (2024)
- Zhao Y, "Utilization of recurrent laryngeal nerve monitoring during thyroid surgery in China : a point prevalence survey(2015-2023)", Int J Surg (2024)
- Hung KC, "Intraoperative nerve monitoring reduces recurrent laryngeal nerve palsy in endoscopic thyroid surgery : a trial sequential analysis", Int J Surg, 110, pp.4490~4491 (2024)
- Lee JH, "An institutional experience of intraoperative neurophysiological monitoring application in robotic thyroidectomy : a retrospective case-control study", Ann Surg Treat Res, 106, pp.243~247 (2024)
- Saxe A, "Does the use of intraoperative neuromonitoring during thyroid and parathyroid surgery reduce the incidence of recurrent laryngeal nerve injuries? A systematic review and meta-analysis", Diagnostics (Basel), 14, pp.860~ (2024)
- Lee HS, "Shaving papillary thyroid carcinoma involving functioning recurrent laryngeal nerve : safety of incomplete tumor resection and nerve sparing", Ann Surg Oncol, 30, pp.7157~7164 (2023)
- Kwon SH, "Analysis of the outcomes of immediate recurrent laryngeal nerve reconstruction during thyroid surgery for prevention of vocal fold paralysis", J Voice (2023)
- Dong S, "Immediate ansa cervicalis-to-recurrent laryngeal nerve low-tension anastomosis : a new technique for phonation recovery and bilateral anastomoses to avoid tracheotomy", Am J Otolaryngol, 45, pp.104358~ (2024)
- Miyauchi A, "Ansa cervicalis external branch anastomosis to restore high tone voice in thyroid surgery", Laryngoscope, 134, pp.3868~3873 (2024)
- Si L, "Surgical outcomes of different approaches to dissection of lymph nodes posterior to right recurrent laryngeal nerve : a retrospective comparative cohort study of endoscopic thyroidectomy via the areolar approach and via the axillo-breast approach", Gland Surg, 11, pp.1936~1945 (2022)
- Oh MY, "Transoral robotic thyroidectomy : lessons learned from consecutive series of 1, 000 patients", Surgery, 176, pp.1627~1634 (2024)
- Rossi L, "Postsurgical complications after robot-assisted transaxillary thyroidectomy : critical analysis of a large cohort of European patients", Updates Surg, 74, pp.511~517 (2022)
- Kwak J, "A time trend analysis of 5, 000 robotic thyroidectomies via bilateral axillo-breast approach", World J Surg, 47, pp.403~411 (2023)
- Li C, "Comparison of the robotic bilateral axillo-breast approach and conventional open thyroidectomy in pediatric patients : a retrospective cohort study", Thyroid, 32, pp.1211~1219 (2022)
- Paek SH, "A Comparison of the bilateral axillo-breast approach(BABA)robotic and open thyroidectomy for papillary thyroid cancer after propensity score matching", Surg Laparosc Endosc Percutan Tech, 32, pp.537~541 (2022)
- Kang YJ, "Surgical safety and effectiveness of bilateral axillo-breast approach robotic thyroidectomy : a systematic review and meta-analysis", Braz J Otorhinolaryngol, 90, pp.101376~ (2024)
- Liu YC, "Effectiveness of the recurrent laryngeal nerve monitoring during endoscopic thyroid surgery : systematic review and meta-analysis", Int J Surg, 109, pp.2070~2081 (2023)
- Peng J, "New strategy for intraoperative phonosurgical management of recurrent laryngeal nerve infiltrated by thyroid carcinoma", Langenbecks Arch Surg, 409, pp.138~ (2024)
- Johnson AC, "Allograft nerve repair of a transected recurrent laryngeal nerve with voice and singing recovery", Laryngoscope (2024)
