Topography and extent of pulmonary vagus nerve supply with respect to transthoracic oesophagectomy

Journal of Anatomy
Teus J WeijsRonald L A W Bleys

Abstract

Pulmonary complications are frequently observed after transthoracic oesophagectomy. These complications may be reduced by sparing the vagus nerve branches to the lung. However, current descriptions of the regional anatomy are insufficient. Therefore, we aimed to provide a highly detailed description of the course of the pulmonary vagus nerve branches. In six fixed adult human cadavers, bilateral microscopic dissection of the vagus nerve branches to the lungs was performed. The level of branching and the number, calibre and distribution of nerve branches were described. Nerve fibres were identified using neurofilament immunohistochemistry, and the nerve calibre was measured using computerized image analysis. Both lungs were supplied by a predominant posterior and a smaller anterior nerve plexus. The right lung was supplied by 13 (10-18) posterior and 3 (2-3) anterior branches containing 77% (62-100%) and 23% (0-38%) of the lung nerve supply, respectively. The left lung was supplied by a median of 12 (8-13) posterior and 3 (2-4) anterior branches containing 74% (60-84%) and 26% (16-40%) of the left lung nerve supply, respectively. During transthoracic oesophagectomy with en bloc lymphadenectomy and transection of the vagus nerves...Continue Reading

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Citations

Dec 15, 2015·Surgical Endoscopy·Teus J WeijsRichard van Hillegersberg
Jul 30, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·R van HillegersbergJ P Ruurda
Aug 4, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·R van HillegersbergJ P Ruurda
Mar 3, 2018·Surgical Endoscopy·Shuntaro YoshimuraYasuyuki Seto
Nov 20, 2018·The European Journal of Neuroscience·Yu ShikanoTakuya Sasaki
Mar 9, 2019·Langenbeck's Archives of Surgery·Taro OshikiriYoshihiro Kakeji

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