食管癌手术颈部切口避免喉返神经损伤的解剖学探讨

Avoidance of Recurrent Laryngeal Nerve Injury Damage during Manipulation in the Neck of Esophageal Cancer Resection

对20例国人尸体40侧喉返神经走行、分支及毗邻关系进行观察,结合临床食管癌手术颈部切口方式,提出右喉返神经外上三角区,为颈部手术避免右喉返神经损伤的理想入路.并讨论了术中避免喉返神经损伤的方法.经临床20例食管癌手术验证,效果满意.

The anatomy of recurrent laryngeal nerve and its branchs were studied in 20 cadavers. Preliminary conclusion was drawn that the upper lateral triangle area of the neck is ideal for the surgical approach in order to avoid injury of the right recurrent laryngeal nerve. Satisfactory results were achieved in 20 cases of the esophageal carcinoma by this operative approach.