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A novel hybrid approach for “Scarless” (at the neck) lateral neck dissection for papillary thyroid carcinoma: A case series and literature review
Lateral neck dissection (LND) is a necessary treatment for thyroid cancer with lateral lymph node metastasis. However, the defect created during open surgery leaves a visible scar on the neck. With advancements in surgical technology, many robotic and endoscopic surgical techniques have been reporte...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780263/ https://www.ncbi.nlm.nih.gov/pubmed/36568147 http://dx.doi.org/10.3389/fonc.2022.985761 |
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author | Chen, Zhen-Xin Chen, Jing-Bao Pang, Feng-Shun Lin, Zhan-Hong Zhang, Xiao-Bo Cai, Bei-Yuan Zheng, Wei-Wu Cao, Ying Qin, You |
author_facet | Chen, Zhen-Xin Chen, Jing-Bao Pang, Feng-Shun Lin, Zhan-Hong Zhang, Xiao-Bo Cai, Bei-Yuan Zheng, Wei-Wu Cao, Ying Qin, You |
author_sort | Chen, Zhen-Xin |
collection | PubMed |
description | Lateral neck dissection (LND) is a necessary treatment for thyroid cancer with lateral lymph node metastasis. However, the defect created during open surgery leaves a visible scar on the neck. With advancements in surgical technology, many robotic and endoscopic surgical techniques have been reported as alternatives to open surgery. In this study, we present a case series demonstrating the successful application of a novel hybrid approach for endoscopic LND and a review of different surgical approaches for “scarless” (at the neck) LND. We performed endoscopic LND via a combined chest and transoral approach in 24 patients between January 2021 and March 2022. The surgery was completed successfully in all patients with an average operation time of 298.1 ± 72.9 min. The numbers of positive/retrieved lymph nodes at levels II, III-IV, and VI were 0.7 ± 0.9/8.4 ± 4.1, 3.6 ± 2.7/19.5 ± 6.8, and 4.9 ± 3.9/10.3 ± 4.5, respectively. Complications included transient hypoparathyroidism in 10 patients, transient recurrent laryngeal nerve injury in 1 patient, internal jugular vein (IJN) injury in 1 patient, IJN sacrifice due to cancer invasion in 1 patient, and chyle leak in 1 patient, and no cases of tumor recurrence were observed during follow-up. The present case series indicates that the combined chest and transoral approach is feasible and effective for performing LND. Our review of different approaches for “scarless” (at the neck) LND identified advantages and disadvantages for all techniques. Our novel approach has unique advantages, and thus, it can provide an ideal surgical procedure for specific papillary thyroid carcinoma patients. |
format | Online Article Text |
id | pubmed-9780263 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97802632022-12-24 A novel hybrid approach for “Scarless” (at the neck) lateral neck dissection for papillary thyroid carcinoma: A case series and literature review Chen, Zhen-Xin Chen, Jing-Bao Pang, Feng-Shun Lin, Zhan-Hong Zhang, Xiao-Bo Cai, Bei-Yuan Zheng, Wei-Wu Cao, Ying Qin, You Front Oncol Oncology Lateral neck dissection (LND) is a necessary treatment for thyroid cancer with lateral lymph node metastasis. However, the defect created during open surgery leaves a visible scar on the neck. With advancements in surgical technology, many robotic and endoscopic surgical techniques have been reported as alternatives to open surgery. In this study, we present a case series demonstrating the successful application of a novel hybrid approach for endoscopic LND and a review of different surgical approaches for “scarless” (at the neck) LND. We performed endoscopic LND via a combined chest and transoral approach in 24 patients between January 2021 and March 2022. The surgery was completed successfully in all patients with an average operation time of 298.1 ± 72.9 min. The numbers of positive/retrieved lymph nodes at levels II, III-IV, and VI were 0.7 ± 0.9/8.4 ± 4.1, 3.6 ± 2.7/19.5 ± 6.8, and 4.9 ± 3.9/10.3 ± 4.5, respectively. Complications included transient hypoparathyroidism in 10 patients, transient recurrent laryngeal nerve injury in 1 patient, internal jugular vein (IJN) injury in 1 patient, IJN sacrifice due to cancer invasion in 1 patient, and chyle leak in 1 patient, and no cases of tumor recurrence were observed during follow-up. The present case series indicates that the combined chest and transoral approach is feasible and effective for performing LND. Our review of different approaches for “scarless” (at the neck) LND identified advantages and disadvantages for all techniques. Our novel approach has unique advantages, and thus, it can provide an ideal surgical procedure for specific papillary thyroid carcinoma patients. Frontiers Media S.A. 2022-12-09 /pmc/articles/PMC9780263/ /pubmed/36568147 http://dx.doi.org/10.3389/fonc.2022.985761 Text en Copyright © 2022 Chen, Chen, Pang, Lin, Zhang, Cai, Zheng, Cao and Qin https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Oncology Chen, Zhen-Xin Chen, Jing-Bao Pang, Feng-Shun Lin, Zhan-Hong Zhang, Xiao-Bo Cai, Bei-Yuan Zheng, Wei-Wu Cao, Ying Qin, You A novel hybrid approach for “Scarless” (at the neck) lateral neck dissection for papillary thyroid carcinoma: A case series and literature review |
title | A novel hybrid approach for “Scarless” (at the neck) lateral neck dissection for papillary thyroid carcinoma: A case series and literature review |
title_full | A novel hybrid approach for “Scarless” (at the neck) lateral neck dissection for papillary thyroid carcinoma: A case series and literature review |
title_fullStr | A novel hybrid approach for “Scarless” (at the neck) lateral neck dissection for papillary thyroid carcinoma: A case series and literature review |
title_full_unstemmed | A novel hybrid approach for “Scarless” (at the neck) lateral neck dissection for papillary thyroid carcinoma: A case series and literature review |
title_short | A novel hybrid approach for “Scarless” (at the neck) lateral neck dissection for papillary thyroid carcinoma: A case series and literature review |
title_sort | novel hybrid approach for “scarless” (at the neck) lateral neck dissection for papillary thyroid carcinoma: a case series and literature review |
topic | Oncology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780263/ https://www.ncbi.nlm.nih.gov/pubmed/36568147 http://dx.doi.org/10.3389/fonc.2022.985761 |
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