{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:16:18Z","timestamp":1791778578156,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T00:00:00Z","timestamp":1502409600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T00:00:00Z","timestamp":1502409600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T00:00:00Z","timestamp":1502409600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Radical lymph node dissection (LND) along the bilateral recurrent laryngeal nerve (RLN) is a surgically challenging procedure with a high rate of morbidity. Here, we assessed in a retrospective manner the adequacy of LND along the RLN performed with robot\u2010assisted thoracoscopic esophagectomy (RATE) versus video\u2010assisted thoracoscopic esophagectomy (VATE) in patients with esophageal squamous cell carcinoma (ESCC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a single\u2010center, retrospective, propensity\u2010matched study. ESCC patients who underwent McKeown esophagectomy and bilateral RLN LND with a minimally invasive approach were divided into two groups according to the use of robot\u2010assisted surgery or not (RATE vs VATE, respectively). Using propensity score matching, 34 balanced matched pairs were identified. The number of dissected nodes as well as the rates of RLN palsy and perioperative complications served as the main outcome measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No conversion to open thoracotomy occurred in either group. Intraoperative blood loss and the need of blood transfusions did not show significant intergroup differences. The mean number of dissected nodes was similar in the two study groups, the only exception being the left RLN area. Specifically, the mean number of nodes removed from this region was 5.32\u00a0in the RATE group and 3.38\u00a0in patients who received VATE (<jats:italic>p<\/jats:italic> = 0.007). Notably, the RATE and VATE groups did not differ significantly with regard to rates of both RLN palsy (20.6 vs 29.4%, respectively, <jats:italic>p<\/jats:italic> = 0.401) and pulmonary complications (5.9 vs 17.6%, respectively, <jats:italic>p<\/jats:italic> = 0.259).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compared with VATE, RATE resulted in a higher lymph node yield along the left RLN without increasing morbidity.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4179-0","type":"journal-article","created":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T13:45:39Z","timestamp":1502459139000},"page":"590-598","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":85,"title":["Lymph Node Evaluation in Robot\u2010Assisted Versus Video\u2010Assisted Thoracoscopic Esophagectomy for Esophageal Squamous Cell Carcinoma: A Propensity\u2010Matched Analysis"],"prefix":"10.1002","volume":"42","author":[{"given":"Yin\u2010Kai","family":"Chao","sequence":"first","affiliation":[{"name":"Division of Thoracic Surgery, Chang Gung Memorial Hospital\u2010Linko Chang Gung University No 5. Fu\u2010Hsing Street Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming\u2010Ju","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Chang Gung Memorial Hospital\u2010Linko Chang Gung University No 5. Fu\u2010Hsing Street Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun\u2010Hen","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Chang Gung Memorial Hospital\u2010Linko Chang Gung University No 5. Fu\u2010Hsing Street Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui\u2010Ping","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Chang Gung Memorial Hospital\u2010Linko Chang Gung University No 5. 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