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Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis
BACKGROUND: Neck dissection is an integral component of the treatment of head and neck cancers. The present meta-analysis aimed to compare the use of endoscope-assisted neck dissection (END) with conventional neck dissection (CND) in the existing English literature. METHODS: A search of PubMed (MEDL...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097363/ https://www.ncbi.nlm.nih.gov/pubmed/35546415 http://dx.doi.org/10.1186/s40463-022-00567-9 |
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author | Lee, Yi-Chan Hsin, Li-Jen Yang, Shih-Wei Tsai, Ming-Shao Tsai, Yao-Te Ho, Che-Fang |
author_facet | Lee, Yi-Chan Hsin, Li-Jen Yang, Shih-Wei Tsai, Ming-Shao Tsai, Yao-Te Ho, Che-Fang |
author_sort | Lee, Yi-Chan |
collection | PubMed |
description | BACKGROUND: Neck dissection is an integral component of the treatment of head and neck cancers. The present meta-analysis aimed to compare the use of endoscope-assisted neck dissection (END) with conventional neck dissection (CND) in the existing English literature. METHODS: A search of PubMed (MEDLINE), Embase, and the Cochrane Library for articles reporting the results of the two techniques of neck dissection was completed independently by two individuals. The authors analyzed the data from each study using a random-effects model. RESULTS: The pooled analysis demonstrated comparable lymph node yield, intraoperative blood loss, incidence of locoregional recurrence, and incidence of complications between the two groups. A significantly longer operative time but a shorter length of hospital stay was observed in the END group compared with the other group. CONCLUSIONS: Compared with conventional techniques, END offers similar oncologic outcomes and complication rates; however, it requires a longer operative time. Future studies with long-term follow-up and assessment of patient satisfaction are needed to confirm the clinical use of END. GRAPHICAL ABSTRACT: [Image: see text] SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40463-022-00567-9. |
format | Online Article Text |
id | pubmed-9097363 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-90973632022-05-13 Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis Lee, Yi-Chan Hsin, Li-Jen Yang, Shih-Wei Tsai, Ming-Shao Tsai, Yao-Te Ho, Che-Fang J Otolaryngol Head Neck Surg Original Research Article BACKGROUND: Neck dissection is an integral component of the treatment of head and neck cancers. The present meta-analysis aimed to compare the use of endoscope-assisted neck dissection (END) with conventional neck dissection (CND) in the existing English literature. METHODS: A search of PubMed (MEDLINE), Embase, and the Cochrane Library for articles reporting the results of the two techniques of neck dissection was completed independently by two individuals. The authors analyzed the data from each study using a random-effects model. RESULTS: The pooled analysis demonstrated comparable lymph node yield, intraoperative blood loss, incidence of locoregional recurrence, and incidence of complications between the two groups. A significantly longer operative time but a shorter length of hospital stay was observed in the END group compared with the other group. CONCLUSIONS: Compared with conventional techniques, END offers similar oncologic outcomes and complication rates; however, it requires a longer operative time. Future studies with long-term follow-up and assessment of patient satisfaction are needed to confirm the clinical use of END. GRAPHICAL ABSTRACT: [Image: see text] SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40463-022-00567-9. BioMed Central 2022-05-11 /pmc/articles/PMC9097363/ /pubmed/35546415 http://dx.doi.org/10.1186/s40463-022-00567-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visithttp://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Original Research Article Lee, Yi-Chan Hsin, Li-Jen Yang, Shih-Wei Tsai, Ming-Shao Tsai, Yao-Te Ho, Che-Fang Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
title | Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
title_full | Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
title_fullStr | Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
title_full_unstemmed | Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
title_short | Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
title_sort | endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097363/ https://www.ncbi.nlm.nih.gov/pubmed/35546415 http://dx.doi.org/10.1186/s40463-022-00567-9 |
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