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Head Neck. 2019 Jul;41(7):2367-2375. doi: 10.1002/hed.25705. Epub 2019 Feb 18.

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

Author information

1
Department of Thyroid and Vascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.

Abstract

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.

KEYWORDS:

anterior chest approach; endoscopic thyroidectomy; lateral neck dissection; needle assisted; papillary thyroid carcinoma

PMID:
30775820
DOI:
10.1002/hed.25705

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