Review Article

The Reliability of the Tracheoesophageal Groove and the Ligament of Berry as Landmarks for Identifying the Recurrent Laryngeal Nerve: A Cadaveric Study and Meta-Analysis

Table 6

Subgroup analysis for relationship of the Recurrent Laryngeal Nerve to the Tracheoesophageal Groove.

Number of studies (number of nerves)Inside TEG: % (95% CI)Outside TEG: % (95% CI): % (95% CI)Cochran’s Q, value

Overall23 (5970)63.7 (55.3–77.7)36.3 (28.3–44.7)97.4 (96.8–97.9)<0.001
Cadaveric15 (1912)65.8 (50.7–79.5)34.2 (20.5–49.3)97.7 (97.1–98.2)<0.001
Intraoperative8 (4058)60.1 (49.9–70.0)39.9 (30.0–50.1)97.0 (95.7–97.9)<0.001
Asia10 (1757)75.9 (60.2–88.9)24.1 (11.1–39.8)97.8 (97.0–98.4)<0.001
Europe9 (3678)50.9 (38.0–63.7)49.1 (36.3–62.0)97.7 (96.8–98.3)<0.001
North America3 (384)57.5 (45.4–69.1)42.5 (30.9–54.6)78.8 (32.3–93.3)0.009
Right10 (1597)62.1 (48.1–75.2)37.9 (24.8–51.9)95.3 (93.2–96.8)<0.001
Left10 (1554)68.0 (56.4–78.6)32.0 (21.4–43.6)93.4 (21.4–43.6)<0.001
Sensitivity (≥ 100 nerves)14 (5334)54.9 (45.3–64.3)45.1 (35.7–54.7)97.6 (97.0–98.2)<0.001