期刊
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
卷 41, 期 7, 页码 2367-2375出版社
WILEY
DOI: 10.1002/hed.25705
关键词
papillary thyroid carcinoma; endoscopic thyroidectomy; lateral neck dissection; needle assisted; anterior chest approach
资金
- Guiding Social Development Project of Fujian Province [2018Y0035]
- Medical Innovation Project of Fujian Provinc [2018-CX-17]
- Professor Academic Development Fund of Fujian Medical Universit [JS15017]
- Minimally Invasive Medicine Center of Fujian Province
- Startup Fund for scientific research of Fujian Medical University [2017XQ1037]
- Youth Research Project in the Health System and Birth Control Commission of Fujian Province [2017-2-22]
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.
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