A comparative study of the surgical outcomes between video-assisted and open lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastases

Zhang, Deguang; Xie, Liping; He, Guannan; Fang, Liang; Miao, Yuwen; Wang, Zhezhe; Gao, Li

doi:10.1016/j.amjoto.2016.07.005

Cited by 18 publications

(28 citation statements)

References 12 publications

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“…In our literature review, we found that our experience of needle‐assisted endoscopic LND technique was associated with higher lymph node yield compared with any other studies listed in Table . As seen in Figure , we completely removed the lymph nodes and relative soft tissues at level II and around the venous angle without remaining visible structural disease, intraoperatively.…”

Section: Discussionmentioning

confidence: 79%

Feasibility and safety of needle‐assisted endoscopic thyroidectomy with lateral neck dissection for papillary thyroid carcinoma: a preliminary experience

et al. 2019

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Background: Endoscopic thyroidectomy is popular among patients with cosmetic requirements. However, when lateral neck dissection (LND) is required, endoscopic surgery may be challenging. Therefore, we introduced needle-assisted endoscopic technique to achieve endoscopic LND procedure and evaluated its safety and feasibility in the present study. Methods: Medical records of 37 patients who underwent needle-assisted endoscopic thyroidectomy with LND were retrospectively reviewed. Results: All of 37 patients had excellent cosmetic outcomes. The mean operative time was 338.2 ± 58.74 minutes. Mean number of lymph nodes retrieved in the lateral was 33.5 ± 11.69 and 15.9 ± 7.51 in the central neck. The rates of transient and permanent hypocalcemia were 32.4% and 2.7% and the rates of transient and permanent recurrent laryngeal nerve palsy were 8.1% and 0%, respectively. Conclusions: Needle-assisted endoscopic thyroidectomy with lateral neck dissection shows potential feasibility but further study is needed to better characterize its safety and applicability. K E Y W O R D Spapillary thyroid carcinoma, endoscopic thyroidectomy, lateral neck dissection, needle assisted, anterior chest approach

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Section: Discussionmentioning

confidence: 79%

Feasibility and safety of needle‐assisted endoscopic thyroidectomy with lateral neck dissection for papillary thyroid carcinoma: a preliminary experience

et al. 2019

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“…The SET group inclusion criteria were as follows: (1) a primary tumor size < 2 cm without severe invasion, (2) a differentiated thyroid carcinoma with suspected or confirmed lymph node metastasis, (3) a largest metastatic lymph node diameter < 2.0 cm, and (4) a highly cosmetic demand. The exclusion criteria were as follows: (1) previous neck or chest surgical history; (2) metastatic lymph nodes in the level V region; (3) metastatic lymph nodes were fused or fixed in the neck; (4) surrounding tissue invasion exists, such as trachea, esophagus, and recurrent laryngeal nerve (RLN); (5) patient with distant metastases; (6) no cosmetic demand.…”

Section: Inclusion and Exclusion Criteria For Set/conventional Groupmentioning

confidence: 99%

Scarless endoscopic thyroidectomy (SET) lateral neck dissection for papillary thyroid carcinoma through breast approach: 10 years of experience

et al. 2020

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Background Breast approach endoscopic thyroidectomy with lateral neck lymph node metastases dissection has been described. However, in this article, we report on 10 years' experience with the breast approach to patients with endoscopic thyroidectomy with level II, III, and IV lateral neck dissection (LND). Patients with papillary thyroid carcinoma (PTC) who received scarless endoscopic thyroidectomy (SET) were included to evaluate its therapeutic effect. Methods Between June 2009 and June 2019, we selected 155 patients with PTC with level II, III, or IV level lymph node metastasis suspected. Ipsilateral level II, III, and IV dissection was performed, accompanied by thyroidectomy and central compartment dissection. In addition, 102 patients received conventional open LND during the same period and were included. Clinicopathological characteristics, outcomes, and tumor prognosis were retrospectively compared in the two groups. Results During the 10 years, the submitted patients' clinicopathological characteristics including tumor size, tumor stage, retrieved lymph nodes number, complication rates, postoperative PTH, and mean postoperative hospital stay were similar between the SET and open group. The mean operating time in the SET group (278.2 ± 38.6 min) was longer than in the open group (179.3 ± 25.4 min). The recurrent rate was not significantly different (2/155, 2/106) in the SET and conventional open group. Conclusion The safety and oncological completeness dissection of SET was similar to that of open procedures. SET is an effective treatment approach for patients with PTC having cosmetic results' demand of lateral neck lymph node metastases. Keywords Scarless endoscopic thyroidectomy • Lateral neck dissection • Thyroid cancer Abbreviations PTC Papillary thyroid carcinoma BAET Breast approach Endoscopic thyroidectomy LND Lateral neck dissection Since Gagner first reported endoscopic parathyroidectomy in 1996 [1], endoscopic thyroidectomy has developed rapidly. Endoscopic thyroid surgery now has been applied to patients with thyroid cancer and achieved excellent cosmetic results accompanied by effective lesions oncologically resected [2]. Various approaches including the transoral [3] approach, axillary approach [4], and robotic thyroidectomy [5] were appeared to conduct the endoscopy thyroid surgery process. Lateral neck dissection (LND) with a conventional open incision is the standard approach, and the consequence is a long scar on the neck that inevitably yields poor cosmetic results. To avoid the anterior neck scar in patients with PTC, endoscopy and video-assisted approaches were implemented to improve the cosmetic result [6, 7]. However, the scarless endoscopic thyroidectomy (SET) for LND remains controversial, and there are technical difficulties. Our surgical team reported our initial several cases of experience related to SET for LND [8]. In another report, few received cases were included, and the advantages and problems of this method have not been fully demonstrated [9]. Over 10 years, we performe...

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“…3 h has been reported and for primary laryngectomies a median surgical procedure time of approx. 5 h was reported [25][26][27][28].…”

Section: Study Populationmentioning

confidence: 99%

Surgical rescue for persistent head and neck cancer after first-line treatment

Steinbichler

Golm

Dejaco

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose Surgical rescue is a treatment option for persistent disease after first-line treatment treatment of head and neck cancer (HNC). Methods Patients with persistent HNC treated with rescue surgery between 2008 and 2016 were included. Patients who received a rescue neck dissection (ND only) and who received primary site surgery ± ND were analysed separately (primary site surgery ± ND). Results During the observation period, 35 patients received ND only and 17 primary site surgery ± ND. No perioperative mortality was observed. In nine patients with ND only and 12 patients with primary site surgery ± ND at least one complication was encountered. 41/52 (79%) patients had a complete response. Median overall survival of patients receiving rescue surgery was 56 months (95% CI 44-69 months). Median overall survival was best for patients with initial laryngeal and oropharyngeal cancer and worst for patients with hypopharyngeal cancer (p = 0.02). Functional deficits following rescue surgery were mainly observed in the domains speech, nutrition, and shoulder/arm mobility. The risk of functional impairment was higher for patients with rescue surgery at the primary tumor site (OR 2.5 ± 2; p = 0.07). Conclusion Rescue surgery offers patients with resectable, persistent disease a realistic chance to achieve long-term survival. Especially patients with laryngeal and oropharyngeal cancer profited from rescue surgery. Rescue neck dissection is an effective and safe procedure. Patients with rescue surgery at the primary tumor site ± ND should expect complications and permanent functional impairment.

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A comparative study of the surgical outcomes between video-assisted and open lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastases

Cited by 18 publications

References 12 publications

Feasibility and safety of needle‐assisted endoscopic thyroidectomy with lateral neck dissection for papillary thyroid carcinoma: a preliminary experience

Feasibility and safety of needle‐assisted endoscopic thyroidectomy with lateral neck dissection for papillary thyroid carcinoma: a preliminary experience

Scarless endoscopic thyroidectomy (SET) lateral neck dissection for papillary thyroid carcinoma through breast approach: 10 years of experience

Surgical rescue for persistent head and neck cancer after first-line treatment

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