Comparative study of surgical outcomes between video-assisted and open lateral neck dissection for papillary thyroid carcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

JIANG Bo , LIU Yawei , YI Dandan , SHI Xianbiao , LIU Song , SANG Jianfeng ,  SU Lei

Department of General Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, P. R. China;

Corresponding?author：

SU Lei, Email: suleinjglyy@sina.com

Keywords：

papillary thyroid carcinoma; video-assisted lateral neck dissection; open lateral neck dissection; surgical safety; cosmetic effect

DOI：

10.7507/1007-9424.202010084

Video：

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Objective To explore the safety, effectiveness and minimally invasive cosmetic evaluation results of treatment for papillary thyroid carcinoma (PTC) by video-assisted lateral neck dissection (VALND) or open lateral neck dissection (OLND).Methods The clinical data of patients with PTC who received surgical treatment in the Affiliated Hospital of Nanjing University Medical School from June 2015 to December 2019 were retrospectively analyzed. The data of 94 cases in the VALND group (n=47) and the OLND group (n=47) were finally included in this study, and perioperative conditions and minimally invasive cosmetic evaluation results between the two groups were studied.Results There were no statistical differences of lateral metastatic lymph node numbers, operative time, postoperative drainage volume, drainage tube removal time and postoperative hospitalization days between the two groups (P>0.05). The lateral retrieved lymph node numbers, intraoperative blood loss, the degree of cervical paresthesia and the degree of cosmetic satisfaction in the VALND group were significantly better than those in the OLND group (P<0.05). There was no significant difference of surgical complications between the two groups (P>0.05).Conclusion Without sacrificing surgical safety and effectiveness, VALND has better cosmetic effect and less neck trauma than OLND, which is worthy of clinical application and promotion.

Citation： JIANG Bo, LIU Yawei, YI Dandan, SHI Xianbiao, LIU Song, SANG Jianfeng, SU Lei. Comparative study of surgical outcomes between video-assisted and open lateral neck dissection for papillary thyroid carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(6): 785-788. doi: 10.7507/1007-9424.202010084 Copy

1.	Hüscher CS, Chiodini S, Napolitano C, et al. Endoscopic right thyroid lobectomy. Surg Endosc, 1997, 11(8): 877.
2.	高力, 謝磊, 李華, 等. 應用高頻超聲刀實施小切口無氣腔室內鏡下甲狀腺手術. 中華外科雜志, 2003, 41(10): 733-737.
3.	章德廣, 高力, 謝磊, 等. 改良Miccoli手術頸側區淋巴結清掃術治療甲狀腺乳頭狀癌 130例臨床分析. 中華外科雜志, 2016, 54(11): 864-869.
4.	Zhang D, Gao L, Xie L, et al. Comparison between video-assisted and open lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastasis: a prospective randomized study. J Laparoendosc Adv Surg Tech A, 2017, 27(11): 1151-1157.
5.	Zhang D, Xie L, He G, et al. A comparative study of the surgical outcomes between video-assisted and open lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastases. Am J Otolaryngol, 2017, 38(2): 115-120.
6.	譚玲珍, 許志亮, 宋俊龍, 等. 改良Miccoli腔鏡輔助頸側區清掃術與傳統開放手術治療分化型甲狀腺癌的療效對比分析. 腹腔鏡外科雜志, 2019, 24(4): 245-248.
7.	Miccoli P, Berti P, Raffaelli M, et al. Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: A prospective randomized study. Surgery, 2001, 130(6): 1039-1043.
8.	單娜, 蔡相軍. 甲狀腺微創手術現狀與展望. 中國保健營養, 2013, 23(2): 1017-1018.
9.	劉溦薇, 周鳴, 趙吉, 等. 腔鏡甲狀腺手術與傳統甲狀腺手術后的并發癥比較. 中國普外基礎與臨床雜志, 2018, 25(3): 323-327.

1. Hüscher CS, Chiodini S, Napolitano C, et al. Endoscopic right thyroid lobectomy. Surg Endosc, 1997, 11(8): 877.
2. 高力, 謝磊, 李華, 等. 應用高頻超聲刀實施小切口無氣腔室內鏡下甲狀腺手術. 中華外科雜志, 2003, 41(10): 733-737.
3. 章德廣, 高力, 謝磊, 等. 改良Miccoli手術頸側區淋巴結清掃術治療甲狀腺乳頭狀癌 130例臨床分析. 中華外科雜志, 2016, 54(11): 864-869.
4. Zhang D, Gao L, Xie L, et al. Comparison between video-assisted and open lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastasis: a prospective randomized study. J Laparoendosc Adv Surg Tech A, 2017, 27(11): 1151-1157.
5. Zhang D, Xie L, He G, et al. A comparative study of the surgical outcomes between video-assisted and open lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastases. Am J Otolaryngol, 2017, 38(2): 115-120.
6. 譚玲珍, 許志亮, 宋俊龍, 等. 改良Miccoli腔鏡輔助頸側區清掃術與傳統開放手術治療分化型甲狀腺癌的療效對比分析. 腹腔鏡外科雜志, 2019, 24(4): 245-248.
7. Miccoli P, Berti P, Raffaelli M, et al. Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: A prospective randomized study. Surgery, 2001, 130(6): 1039-1043.
8. 單娜, 蔡相軍. 甲狀腺微創手術現狀與展望. 中國保健營養, 2013, 23(2): 1017-1018.
9. 劉溦薇, 周鳴, 趙吉, 等. 腔鏡甲狀腺手術與傳統甲狀腺手術后的并發癥比較. 中國普外基礎與臨床雜志, 2018, 25(3): 323-327.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparative study of surgical outcomes between video-assisted and open lateral neck dissection for papillary thyroid carcinoma

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