Subcomplete sealing technique minimizes recurrent laryngeal nerve palsy

The subcomplete sealing technique significantly mitigated the risk of recurrent laryngeal nerve (RLN) palsy during esophagectomy. Among 76 patients undergoing the procedure, only 3.95% experienced grade IIa RLN palsy, with no cases of more severe injuries. This approach utilizes advanced bipolar energy devices to achieve vessel sealing while preventing thermal injury to nearby nerves, thereby promoting safer lymph node dissection around the RLNs and reducing bleeding risks associated with traditional methods.