The valuee and short-term efficacy of Miccoli for cervical lymph node dissection
10.3760/cma.j.issn.1674-6090.2019.05.015
- VernacularTitle:Miccoli术式在颈侧区淋巴结清扫的价值及近期疗效评估
- Author:
Chonggao WANG
1
;
Wei HAN
;
Kai LU
;
Mengdi CUI
;
Xiaoyan JIANG
;
Linxin ZHANG
Author Information
1. 南京中医药大学附属南京中医院甲乳外科 210001
- Keywords:
Miccoli;
Thyroid papillary carcinoma;
Neck dissection
- From:
Chinese Journal of Endocrine Surgery
2019;13(5):423-428
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value and short-term efficacy of Miccoli for cervical lymph node dissection in patients with thyroid papillary carcinoma.Methods From Mar.2017 to Jan.2018,15 patients with thyroid papillary carcinoma received cervical lymph node dissection in Department of Thyroid and Breast Surgery of Nanjing Chinese Traditional Medicine Hospital,and they were divided into open surgery group (8 cases) and Miccoli surgery group (7 cases).The operation time,incision length,intraoperative blood loss,total number of dissection lymph nodes,incidence of postoperative complications and length of hospital stay between the two groups were analyzed.These groups were followed up for 6 months after surgery,in terms of neck comfort,incidence of enlarged lymph nodes in the cervical region and blood thyroglobulin level.Results There was no obvious difference between the two groups in intraoperative blood loss(P=0.651),total number of dissection lymph nodes(P=0.887),the incidence of postoperative complications(P=0.52),incidence of intumescent lymph node(P=1.000) and blood thyroglobulin level(P=0.826) after 6 months.The operation time of Miccoli group was longer than that of the open group(P=0.001),but the incision length(P=0.001),length of hospital stay(P=0.001)and postoperative neck comfort(P=0.001)were superior to those of the open surgery group.Conclusion Miccoli operation can be used to perform cervical lymph node dissection for PTC patients,which can achieve the curative effect of open surgery,without increasing the risk of postoperative complications,and the postoperative neck comfort was better.
