Indications and extent of central neck dissection for papillary thyroid cancer: An American Head and Neck Society Consensus Statement

Agrawal, Nishant; Evasovich, Maria; Kandil, Emad; Noureldine, Salem I.; Felger, Erin A.; Tufano, Ralph P.; Kraus, Dennis H.; Orloff, Lisa A.; Grogan, Raymon H.; Angelos, Peter; Stack, Brendan C.; McIver, Bryan; Randolph, Gregory W.

doi:10.1002/hed.24715

Cited by 80 publications

(99 citation statements)

References 135 publications

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“…According to the recent American Head and Neck Society consensus statement [18], a large tumor size (T3 or T4) is an indication for central neck dissection, but it is not consensual. In terms of oncologic safety, the results of RT and OT seem equivalent.…”

Section: Discussionmentioning

confidence: 99%

Report of a Track Seeding of Thyroid Papillary Carcinoma During Robot- Assisted Transaxillary Thyroidectomy

Chabrillac¹,

Zerdoud²,

Graff-Cailleaud³

et al. 2017

Thyroid Disorders Ther

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Background: The Robotic Thyroidectomy (RT) is a minimally invasive surgical technique initially developed in Asia, for cultural reasons. The principles of its use are still undergoing development. Showing to all appearances satisfying outcomes, the long-time safety and medico-economic benefit of the procedure have not been established yet. The use of this technique in thyroid carcinology remains rare, and provides specific risks, not encountered with the Open Thyroidectomy (OT).

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Section: Discussionmentioning

confidence: 99%

Report of a Track Seeding of Thyroid Papillary Carcinoma During Robot- Assisted Transaxillary Thyroidectomy

Chabrillac¹,

Zerdoud²,

Graff-Cailleaud³

et al. 2017

Thyroid Disorders Ther

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“…Though the American Thyroid Association (ATA) and the National Comprehensive Cancer Network each have guidelines on this topic, they are broad and neither have been endorsed by any surgical organization (28–30). As such, it is challenging to make recommendations as to the indications for CND via TONS.…”

Section: Indicationsmentioning

confidence: 99%

“…As such, it is challenging to make recommendations as to the indications for CND via TONS. That being said, we base our recommendations on the recent American Head and Neck Society (AHNS) consensus statement for indications for transcervical CND (30) and our own group’s review of indications for transoral thyroidectomy summarized in Table 1 (to be concurrently published with this article).…”

Section: Indicationsmentioning

confidence: 99%

“…Thyroidectomy alone is appropriate for small (T1 or T2) , noninvasive , and clinical N0 PTC. A prophylactic CND might be considered for larger (T3 or T4) tumors (30). ” However, these authors further state that the utility for any individual patient must be based upon the importance placed in staging information CND may provide the multidisciplinary treatment team.…”

Section: Indicationsmentioning

confidence: 99%

“…” However, these authors further state that the utility for any individual patient must be based upon the importance placed in staging information CND may provide the multidisciplinary treatment team. Given that we do not recommended TONS for T3 and T4 disease (22,32), a prophylactic CND may be considered if preoperative workup is consistent with a 2-cm or smaller well differentiated thyroid cancer and the treatment team believes that staging information gained from CND outweigh the operative risks of recurrent laryngeal nerve (RLN) injury or hypoparathyroidism (19,30,31)…”

Section: Indicationsmentioning

confidence: 99%

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Central neck dissection via the transoral approach

et al. 2017

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There has been a strong impetus for the development of remote access approaches to the central neck. The primary motivation for this has been to alleviate the negative impact that some patients may perceive from a central neck scar. Numerous approaches have been described; however the only approach that provides midline access and equivalent visualization of the bilateral thyroid lobes and paratracheal basins is transoral neck surgery (TONS). TONS has been shown to be safe and effective in performing thyroidectomy, parathyroidectomy, and central neck dissection (CND) via both the endoscopic and robotic techniques. In contrast with other remote access techniques, it provides the surgeon with familiar views of the bilateral recurrent laryngeal nerves (RLN) at their insertion site in concert with equivalent access to both paratracheal basins, thus uniquely facilitating safe and comprehensive CND. Though feasible and safe, CND via TONS is not appropriate in all cases. CND via TONS should only be performed with concomitant transoral total thyroidectomy, either prophylactically if the surgeon routinely performs prophylactic CND, or therapeutically if there is newly found evidence of nodal metastasis in the central compartment at the time of surgery. We base these recommendations on both the recent American Head and Neck Society (AHNS) consensus statement for indications for transcervical CND and the baseline indications for TONS.

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Robotic transoral thyroidectomy: Total thyroidectomy and ipsilateral central neck dissection with da Vinci Xi Surgical System

Kim

Park

2019

Head & Neck

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Background Transoral approach for thyroidectomy draws attention recently among the thyroid surgeons, with the merits of cosmetic outcomes and minimal flap dissection. The aim of this study is to demonstrate the details and the steps of transoral robotic thyroidectomy. Methods We made three incisions in the gingival‐buccal sulcus for three 8‐mm intraoral ports: one inverted U‐shaped 1‐cm midline incision approximately 2 cm above the frenulum, and two 0.5‐cm lateral incisions near the commissure of lips. An additional 8‐mm axilla port was inserted for countertraction and later drain insertion. Results Right thyroid lobectomy, ipsilateral central neck dissection, and left thyroid lobectomy were performed with preserving recurrent laryngeal nerves and parathyroid glands. There was no development of transient or permanent hypoparathyroidism, vocal cord palsy, postoperative bleeding, or surgical site infection. Conclusion Transoral robotic total thyroidectomy and ipsilateral central neck dissection using the da Vinci Xi Surgical System are feasible and safe.

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Indications and extent of central neck dissection for papillary thyroid cancer: An American Head and Neck Society Consensus Statement

Abstract: This represents, in our opinion, contemporary optimal surgical care for this patient population and is endorsed by the American Head and Neck Society. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1269-1279, 2017.

Cited by 80 publications

References 135 publications

Report of a Track Seeding of Thyroid Papillary Carcinoma During Robot- Assisted Transaxillary Thyroidectomy

Report of a Track Seeding of Thyroid Papillary Carcinoma During Robot- Assisted Transaxillary Thyroidectomy

Central neck dissection via the transoral approach

Robotic transoral thyroidectomy: Total thyroidectomy and ipsilateral central neck dissection with da Vinci Xi Surgical System

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