{"id":"https://openalex.org/W4402139447","doi":"https://doi.org/10.1093/dote/doae057.029","title":"246. EFFECT OF INTRAOPERATIVE NERVE MONITORING DURING MINIMALLY INVASIVE ESOPHAGECTOMY","display_name":"246. EFFECT OF INTRAOPERATIVE NERVE MONITORING DURING MINIMALLY INVASIVE ESOPHAGECTOMY","publication_year":2024,"publication_date":"2024-09-01","ids":{"openalex":"https://openalex.org/W4402139447","doi":"https://doi.org/10.1093/dote/doae057.029"},"language":"en","primary_location":{"id":"doi:10.1093/dote/doae057.029","doi":"https://doi.org/10.1093/dote/doae057.029","is_oa":false,"landing_page_url":"https://doi.org/10.1093/dote/doae057.029","pdf_url":null,"source":{"id":"https://openalex.org/S170171939","display_name":"Diseases of the Esophagus","issn_l":"1120-8694","issn":["1120-8694","1442-2050"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diseases of the Esophagus","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055464489","display_name":"Po\u2010Kuei Hsu","orcid":"https://orcid.org/0000-0003-1790-0227","observed_orcids":["https://orcid.org/0000-0003-1790-0227"]},"institutions":[{"id":"https://openalex.org/I2803004286","display_name":"Taipei Veterans General Hospital","ror":"https://ror.org/03ymy8z76","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I2803004286"]}],"countries":["TW"],"is_corresponding":true,"raw_author_name":"Po-Kuei Hsu","raw_affiliation_strings":["Taipei Veterans General Hospital , Taiwan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Taipei Veterans General Hospital , Taiwan","institution_ids":["https://openalex.org/I2803004286"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5055464489"],"corresponding_institution_ids":["https://openalex.org/I2803004286"],"apc_list":{"value":4319,"currency":"USD","value_usd":4319},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.23972584,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"37","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10619","display_name":"Esophageal Cancer Research and Treatment","score":0.8306000232696533,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10619","display_name":"Esophageal Cancer Research and Treatment","score":0.8306000232696533,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.15649999678134918,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12476","display_name":"Intraoperative Neuromonitoring and Anesthetic Effects","score":0.004699999932199717,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intraoperative-neurophysiological-monitoring","display_name":"intraoperative neuromonitoring","score":0.9800000190734863},{"id":"https://openalex.org/keywords/recurrent-laryngeal-nerve","display_name":"recurrent laryngeal nerve","score":0.8600000143051147},{"id":"https://openalex.org/keywords/mckeown-esophagectomy","display_name":"McKeown esophagectomy","score":0.8830000162124634},{"id":"https://openalex.org/keywords/thoracoscopic-esophagectomy","display_name":"thoracoscopic esophagectomy","score":0.9259999990463257},{"id":"https://openalex.org/keywords/esophageal-squamous-cell-carcinoma","display_name":"esophageal squamous cell carcinoma","score":0.875},{"id":"https://openalex.org/keywords/vocal-cord-palsy","display_name":"vocal cord palsy","score":0.9800000190734863},{"id":"https://openalex.org/keywords/nerve-injury","display_name":"nerve injury","score":0.6700000166893005},{"id":"https://openalex.org/keywords/lymph-node-dissection","display_name":"lymph node dissection","score":0.6660000085830688},{"id":"https://openalex.org/keywords/minimally-invasive-esophagectomy","display_name":"minimally invasive esophagectomy","score":0.8980000019073486},{"id":"https://openalex.org/keywords/surgeon-experience","display_name":"surgeon experience","score":0.5600000023841858},{"id":"https://openalex.org/keywords/single-surgeon-series","display_name":"single-surgeon series","score":0.4580000042915344},{"id":"https://openalex.org/keywords/esophagectomy","display_name":"esophagectomy","score":0.578000009059906}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9711269736289978},{"id":"https://openalex.org/C2777297899","wikidata":"https://www.wikidata.org/wiki/Q298191","display_name":"Esophagectomy","level":4,"score":0.7123945355415344},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.38104456663131714},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.36957526206970215},{"id":"https://openalex.org/C2779742542","wikidata":"https://www.wikidata.org/wiki/Q372701","display_name":"Esophageal cancer","level":3,"score":0.2032037377357483},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.09255096316337585},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.0347079336643219}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/dote/doae057.029","doi":"https://doi.org/10.1093/dote/doae057.029","is_oa":false,"landing_page_url":"https://doi.org/10.1093/dote/doae057.029","pdf_url":null,"source":{"id":"https://openalex.org/S170171939","display_name":"Diseases of the Esophagus","issn_l":"1120-8694","issn":["1120-8694","1442-2050"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diseases of the Esophagus","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.7099999785423279,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2748952813","https://openalex.org/W3031052312","https://openalex.org/W4389568370","https://openalex.org/W3032375762","https://openalex.org/W1995515455","https://openalex.org/W2080531066","https://openalex.org/W3108674512","https://openalex.org/W1506200166","https://openalex.org/W1489783725","https://openalex.org/W2148612803"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Recurrent":[2],"laryngeal":[3],"nerve":[4,35],"(RLN)":[5],"lymphadenectomy":[6,84,297],"is":[7,15,55],"a":[8,21,96],"crucial":[9],"step":[10],"during":[11,38,45,69,85],"esophagectomy.":[12,73],"However,":[13,286],"it":[14],"technically":[16],"demanding":[17],"and":[18,53,102,128,144,169,175,186,205,211,222,232,241,247],"associated":[19],"with":[20,67,134],"significant":[22,179,215],"risk":[23],"of":[24,33,43,140,147,160,196,236,256,279,289],"RLN":[25,83,163,199,281,296],"injury.":[26],"Despite":[27],"several":[28],"studies":[29],"demonstrating":[30],"the":[31,138,145,153,254,264,277,287,300],"feasibility":[32],"intraoperative":[34],"monitoring":[36],"(IONM)":[37],"esophageal":[39,90],"surgery,":[40],"routine":[41],"utilization":[42,255,288],"IONM":[44,68,257,290],"minimally":[46,70],"invasive":[47,71],"esophagectomy":[48,88],"has":[49],"not":[50,228,262,292],"become":[51],"common,":[52],"there":[54],"limited":[56],"evidence":[57],"to":[58,251],"provide":[59],"robust":[60],"guidance.":[61],"Here,":[62],"we":[63],"describe":[64],"our":[65],"experience":[66],"McKeown":[72,87],"Methods":[74],"Data":[75],"from":[76],"115":[77],"consecutive":[78],"patients":[79],"who":[80],"underwent":[81],"bilateral":[82],"thoracoscopic":[86],"for":[89],"squamous":[91],"cell":[92],"carcinoma":[93],"(ESCC)":[94],"by":[95],"single":[97],"surgeon":[98],"between":[99,183,219,229],"July":[100],"2017":[101],"November":[103],"2023":[104],"were":[105],"reviewed.":[106],"The":[107,157,193,234],"cohort":[108],"was":[109,166,181,202,217,238],"divided":[110],"into":[111],"three":[112,154],"groups:":[113],"Group":[114,121,129,252,259],"1":[115,221],"(initial":[116],"23":[117],"cases":[118,125,133],"without":[119,126],"IONM),":[120,127],"2":[122,185,223,231],"(middle":[123],"46":[124,132],"3":[130,187,260],"(late":[131],"IONM).":[135],"We":[136],"compared":[137],"number":[139,159,195,278],"resected":[141,161,197,280],"lymph":[142,164,200,282],"nodes":[143,165,201,283],"incidence":[146,235],"vocal":[148],"cord":[149],"palsy":[150],"(VCP)":[151],"among":[152],"groups.":[155],"Results":[156],"mean":[158,194],"right-side":[162],"1.21,":[167],"2.30,":[168],"3.28":[170],"in":[171,207,243,258],"Groups":[172,184,208,220,230,244],"1,":[173,209,245],"2,":[174,210,246,253],"3,":[176,212,248],"respectively.":[177,213,249],"A":[178,214],"difference":[180,216],"noted":[182,218],"(p":[188,224],"=":[189,225],"0.03,":[190],"Kruskal-Wallis":[191],"test).":[192],"left-side":[198,295],"1.13,":[203],"2.70,":[204],"2.67":[206],"0.009),":[226],"but":[227],"3.":[233],"VCP":[237,266,301],"8.7%,":[239,240],"10.9%":[242],"Compared":[250],"did":[261,291],"reduce":[263,299],"postoperative":[265],"rate":[267],"(OR:":[268],"1.280,":[269],"95%":[270],"CI:":[271],"0.321-5.107).":[272],"Conclusions":[273],"With":[274],"increasing":[275],"experience,":[276],"significantly":[284],"increased.":[285],"further":[293],"improve":[294],"or":[298],"rate.":[302]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2025-10-10T00:00:00"}
