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, 谢磊, 李华, 等. 应用高频超声刀实施小切口无气腔室内镜下甲状腺手术. 中华外科杂志, 2003, 41(10): 733-737.
3.	章德广, 高力, 谢磊, 等. 改良Miccoli手术颈侧区淋巴结清扫术治疗甲状腺乳头状癌 130例临床分析. 中华外科杂志, 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.	谭玲珍, 许志亮, 宋俊龙, 等. 改良Miccoli腔镜辅助颈侧区清扫术与传统开放手术治疗分化型甲状腺癌的疗效对比分析. 腹腔镜外科杂志, 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.	单娜, 蔡相军. 甲状腺微创手术现状与展望. 中国保健营养, 2013, 23(2): 1017-1018.
9.	刘溦薇, 周鸣, 赵吉, 等. 腔镜甲状腺手术与传统甲状腺手术后的并发症比较. 中国普外基础与临床杂志, 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, 谢磊, 李华, 等. 应用高频超声刀实施小切口无气腔室内镜下甲状腺手术. 中华外科杂志, 2003, 41(10): 733-737.
3. 章德广, 高力, 谢磊, 等. 改良Miccoli手术颈侧区淋巴结清扫术治疗甲状腺乳头状癌 130例临床分析. 中华外科杂志, 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. 谭玲珍, 许志亮, 宋俊龙, 等. 改良Miccoli腔镜辅助颈侧区清扫术与传统开放手术治疗分化型甲状腺癌的疗效对比分析. 腹腔镜外科杂志, 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. 单娜, 蔡相军. 甲状腺微创手术现状与展望. 中国保健营养, 2013, 23(2): 1017-1018.
9. 刘溦薇, 周鸣, 赵吉, 等. 腔镜甲状腺手术与传统甲状腺手术后的并发症比较. 中国普外基础与临床杂志, 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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