Safety and efficacy evaluation of trans-breast endoscopic approach for lateral neck dissection in the treatment of thyroid cancer
10.3760/cma.j.cn115807-20250331-00088
- VernacularTitle:经胸前入路腔镜在甲状腺癌颈侧区淋巴结清扫手术中的安全性有效性评估
- Author:
Junkai LI
1
;
Ruiying ZHU
;
Haichao YAN
;
Xing YU
;
Ping WANG
Author Information
1. 山西医科大学附属第一医院甲状腺外科，太原 030012
- Publication Type:Journal Article
- Keywords:
Thyroid cancer;
Endoscopic thyroid surgery;
Lateral neck dissection;
Surgical complication;
Cosmetic satisfaction
- From:
Chinese Journal of Endocrine Surgery
2025;19(4):509-513
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and efficacy of trans-breast endoscopic approach for lateral neck dissection (LND) in the treatment of thyroid cancer.Methods:A retrospective analysis was conducted on 80 patients who underwent trans-breast endoscopic LND at the Second Affiliated Hospital of Zhejiang University School of Medicine from Dec. 2023 to Aug. 2024. Demographic characteristics, operative duration, postoperative complications, and pathological results were analyzed, with data presented using descriptive statistics.Results:The cohort included 7 males and 73 females, with a mean age of (30.0 ± 6.7) years. The mean diameter of thyroid cancer lesion was (1.3 ± 0.7) cm. The average operative duration was (4.6 ± 1.5) hours, with a 0.0% (0/80) rate of conversion to open surgery. Intraoperative recurrent laryngeal nerve (RLN) "loss of signal" occurred in 6.3% (5/80) of cases. The mean hospital stay was (2.3 ± 1.0) days. Postoperative complications included transient hoarseness in 3.8% (3/80) and transient hypoparathyroidism in 10.0% (8/80), with no cases of permanent hoarseness or hypoparathyroidism. The mean total number of dissected lymph nodes was 47.8 ± 18.6, with 8.3 ± 6.2 metastatic lymph nodes. The incidence of postoperative lymphatic leakage was 3.8% (3/80), and no cases of incision infection were observed. The mean visual analog scale (VAS) score for pain was 4.2 ± 0.4. The mean follow-up duration was 10.3 months, at 3-month follow-up, the cosmetic satisfaction score was 4.5 ± 0.4.Conclusions:The trans-breast endoscopic approach for LND is safe and effective, with high patient cosmetic satisfaction. With appropriate patient selection, it can be considered a viable surgical option for lateral neck dissection in the treatment of thyroid cancer.
