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Feasibility and safety of needle‐assisted endoscopic thyroidectomy with lateral neck dissection for papillary thyroid carcinoma: a preliminary experience
Author(s) -
Wang Bo,
Weng Yujing,
Wang Sisi,
Zhao Wenxin,
Yan Shouyi,
Zhang Liyong,
Wen Jia
Publication year - 2019
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25705
Subject(s) - medicine , thyroidectomy , surgery , dissection (medical) , recurrent laryngeal nerve , thyroid carcinoma , neck dissection , thyroid , palsy , carcinoma , alternative medicine , pathology
Background Endoscopic thyroidectomy is popular among patients with cosmetic requirements. However, when lateral neck dissection (LND) is required, endoscopic surgery may be challenging. Therefore, we introduced needle‐assisted endoscopic technique to achieve endoscopic LND procedure and evaluated its safety and feasibility in the present study. Methods Medical records of 37 patients who underwent needle‐assisted endoscopic thyroidectomy with LND were retrospectively reviewed. Results All of 37 patients had excellent cosmetic outcomes. The mean operative time was 338.2 ± 58.74 minutes. Mean number of lymph nodes retrieved in the lateral was 33.5 ± 11.69 and 15.9 ± 7.51 in the central neck. The rates of transient and permanent hypocalcemia were 32.4% and 2.7% and the rates of transient and permanent recurrent laryngeal nerve palsy were 8.1% and 0%, respectively. Conclusions Needle‐assisted endoscopic thyroidectomy with lateral neck dissection shows potential feasibility but further study is needed to better characterize its safety and applicability.