Retrospective analysis of 350 cases with dissection of lymph nodes posterior to right recurrent laryngeal nerve in endoscopic thyroidectomy through gasless axillary posterior approach
10.3760/cma.j.cn115330-20231014-00146
- VernacularTitle:经腋窝无充气后方入路腔镜甲状腺系膜切除术清扫右侧喉返神经深层（ⅥB区）淋巴结350例回顾性分析
- Author:
Zhicheng ZHANG
1
;
Tingting LI
;
Shitong YU
;
Junna GE
;
Zhigang WEI
;
Baihui SUN
;
Weisheng CHEN
;
Jie TAN
;
Shangtong LEI
Author Information
1. 南方医科大学南方医院普通外科，广州 510515
- Keywords:
Thyroid neoplasms;
Endoscopic thyroidectomy;
Gasless;
Axillary approach;
Lymph node posterior to right recurrent laryngeal nerve
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2024;59(1):21-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluated the safety and feasibility of dissection of lymph nodes posterior to right recurrent laryngeal nerve (ⅥB compartment) in endoscopic thyroidectomy through gasless axillary posterior approach.Methods:A total of 350 cases with right lobe papillary thyroid carcinoma (PTC) who underwent endoscopic lobectomy, isthmusectomy and central compartment neck dissection via gasless axillary posterior approach based at the Department of General Surgery, Nanfang Hospital, Southern Medical University from June 2020 to December 2022 were retrospectively analyzed. Summarize the clinical, pathological characteristics, and postoperative complications of the patients. SPSS 25.0 was used for statistical analysis of the data.Results:All 350 patients underwent endoscopic surgery successfully, with no conversion to open surgery. There were 303 females and 47 males, with an average age of (36.3±9.2) years. Of those, 287 patients were in pT1a stage, 62 in pT1b stage, and one patient in pT2 stage. There was no T3 or T4 stage patient. The mean numbers of yielded lymph nodes in right central compartment and ⅥB compartment were 8.11±4.65 (range, 1-31) and 2.62±1.86 (range, 1-12), respectively. ⅥB compartment metastasis was detected in 52 (14.86%) of 350 patients. The incidence of transient recurrent laryngeal nerve injury was 0.86%(3/350). Postoperative hematoma occurred in three patients (0.86%).Conclusion:The dissection of ⅥB compartment in endoscopic thyroidectomy through gasless axillary posterior approach is safe and feasible in selected PTC patients
