Gasless endoscopic selective lateral neck dissection via an anterior chest approach for papillary thyroid carcinomas
10.3760/cma.j.issn.1673-0860.2017.12.008
- VernacularTitle: 经胸前入路内镜辅助下择区性颈清扫术治疗N1b甲状腺乳头状癌
- Author:
Peiliang LIN
1
;
Faya LIANG
1
;
Ping HAN
1
;
Renhui CHEN
1
;
Shitong YU
1
;
Qian CAI
1
;
Xiaoming HUANG
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510289, China
- Publication Type:Journal Article
- Keywords:
Papillary neoplasms;
Carcinoma, papillary;
Endoscopy;
Lymph node dissection
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2017;52(12):915-920
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the safety and curative effect of gasless endoscopic selective lateral neck dissection (GESLND) via an anterior chest approach for papillary thyroid carcinoma (PTC).
Methods:Eighteen patients with PTC(T1-2N1bM0, size<3.0 cm), having GESLND via an anterior chest approach, were included from November 2008 to December 2016.
Results:GESLND via an anterior chest approach was successfully performed in all 18 PTC patients (seven male and eleven female) with 83.3% of T1 and 16.7% of T2. The mean operative time of selective lateral neck dissection was 73 min (range 51-92 min). The mean of intraoperative bleeding was 61.1 ml (range 30-120 ml). No major complications occurred except one transient hypoparathyroidism. No residual thyroid glands were detected on ultrasonography and thyroglobulin was(0.73±0.16)ng/ml three months postoperatively. The median of follow-up was 54.5 months (range 6-104 months). No recurrence disease was observed in any patient on ultrasonography, computer tomography, thyroglobulin or selective iodine-131 scan during the follow-up period. The cosmetic result and functional preservation was excellent, when the assessments were performed three months postoperatively.
Conclusion:GESLND via an anterior chest approach is feasible and safe for selected PTCs, with superior appearance.
