Minimally-invasive endoscopically-assisted neck dissection for lateral cervical metastases of thyroid papillary carcinoma

Zhang, Zongmin; Xu, Zhengang; Li, Zhengjiang; An, Changming; Liu, Jie; Zhu, Yiming; Song, Ning; Tang, Ping-zhang; Sayan, A.; Ilankovan, V.

doi:10.1016/j.bjoms.2014.05.009

Cited by 19 publications

(17 citation statements)

References 10 publications

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“…In our literature review, we found that our experience of needle‐assisted endoscopic LND technique was associated with higher lymph node yield compared with any other studies listed in Table . As seen in Figure , we completely removed the lymph nodes and relative soft tissues at level II and around the venous angle without remaining visible structural disease, intraoperatively.…”

Section: Discussionmentioning

confidence: 79%

Feasibility and safety of needle‐assisted endoscopic thyroidectomy with lateral neck dissection for papillary thyroid carcinoma: a preliminary experience

et al. 2019

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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. K E Y W O R D Spapillary thyroid carcinoma, endoscopic thyroidectomy, lateral neck dissection, needle assisted, anterior chest approach

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Section: Discussionmentioning

confidence: 79%

Feasibility and safety of needle‐assisted endoscopic thyroidectomy with lateral neck dissection for papillary thyroid carcinoma: a preliminary experience

et al. 2019

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“…More recent reports have also shown that central and lateral compartment clearance can also be performed with videoscopic procedures. 18 In conclusion, as long as strict selection criteria are followed, MIVAT is a feasible and safe option for symptomatic small-volume thyroid pathologies needing surgery. It avoids the need for a larger neck scar with distinct advantages in terms of cosmesis and postoperative pain.…”

Section: Discussionmentioning

confidence: 91%

Minimally Invasive Video-assisted Thyroidectomy vs Conventional Open Hemithyroidectomy in Asian Patients

Singaporewalla¹,

Rao²,

Majumder³

2016

World Journal of Endocrine Surgery

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Introduction Although the technique of minimally invasive video assisted thyroidectomy (MIVAT) is well established in continental Europe, data on it's role in Asian patients is limited. We compared the results of MIVAT with conventional open hemithyroidectomy in Asian patients. Materials and methods Over a 1-year period, patients undergoing hemithyroidectomy for benign symptomatic goiters were selected. Inclusion criteria for MIVAT were benign colloid goiters, recurrent cysts or follicular lesions and neoplasms with lobe volume of less than 40 cc or nodule diameter less than 35 mm. Larger goiters underwent conventional open surgery. Patients with previous neck surgery and proven malignancy were excluded. Operative time, complications, postoperative pain score, incision length and cosmetic satisfaction at 6 months were recorded. Results Thirty-six patients (MIVAT-21, Conventional-15) were included. Both groups were comparable in terms of demographic profile and co-morbidities. The mean operating time for both groups showed no significant difference (MIVAT = 111.67 ± 19.4 min, Conventional = 112.40 ± 25.06 min; p = 0.925). Minimally invasive video assisted thyroidectomy patients had significantly less pain in the immediate postoperative period (mean pain score 2.38 vs 4.8, p < 0.001). Mean incision length at end of surgery was significantly smaller in the MIVAT group (2.58 vs 6.3 cm; p < 0.001). Neck scar satisfaction at 6 months was excellent in 71.4% of MIVAT cases vs 26.6% of conventional hemithyroidectomy cases. There were no complications in any of the treatment groups. Conclusion In selected cases, MIVAT is as safe as conventional open surgery with distinct advantages of better postoperative pain control and cosmesis. How to cite this article Rao AD, Singaporewalla RM, Majumder A. Minimally Invasive Video-assisted Thyroidectomy vs Conventional Open Hemithyroidectomy in Asian Patients. World J Endoc Surg 2016;8(3):189-192.

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“…Level II, III, and IV LNs can be dissected in the caudad to cephalad direction, while level III and IV LNs can also be dissected in the cephalad to caudad direction due to freedom from restriction. The SAN, cervical plexus, phrenic nerve, brachial plexus, and transverse cervical should be carefully protected (10,(32)(33)(34)(50)(51)(52)(53). Kitagawa and Lin et al reported a totally gasless anterior chest approach.…”

Section: Endoscope-assisted Lateral Neck Dissection 41 Surgical Proceduresmentioning

confidence: 99%

“…Wu et al reported no conversion to open surgery, no significant blood loss, and only mild postoperative pain in their 26 cases ( 10 ). Zhang et al reported an injury of the trapezius branch of the accessory nerve, causing weakness that recovered within 2 years ( 50 ). Kitagawa reported lateral LN clearance in three patients through a totally gasless anterior neck skin lifting method without any severe complications ( 49 ).…”

Section: Endoscope-assisted Lateral Neck Dissectionmentioning

confidence: 99%

Endoscopic Lateral Neck Dissection: A New Frontier in Endoscopic Thyroid Surgery

et al. 2021

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BackgroundEndoscopic thyroidectomy and robotic thyroidectomy are effective and safe surgical options for thyroid surgery, with excellent cosmetic outcomes. However, in regard to lateral neck dissection (LND), much effort is required to alleviate cervical disfigurement derived from a long incision. Technologic innovations have allowed for endoscopic LND, without the need for extended cervical incisions and providing access to remote sites, including axillary, chest–breast, face-lift, transoral, and hybrid approaches.MethodsA comprehensive review of published literature was performed using the search terms “lateral neck dissection”, “thyroid”, and “endoscopy OR endoscopic OR endoscope OR robotic” in PubMed.ResultsThis review provides an overview of the current knowledge regarding endoscopic LND, and it specifically addresses the following points: 1) the surgical procedure, 2) the indications and contraindications, 3) the complications and surgical outcomes, and 4) the technical advantages and limitations. Robotic LND, totally endoscopic LND, and endoscope-assisted LND are separately discussed.ConclusionsEndoscopic LND is a feasible and safe technique in terms of complete resection of the selected neck levels, complications, and cosmetic outcomes. However, it is recommended to strictly select criteria when expanding the population of eligible patients. A formal indication for endoscopic LND has not yet been established. Thus, a well-designed, multicenter study with a large cohort is necessary to confirm the feasibility, long-term outcomes, oncological safety, and influence of endoscopic LND on patient quality of life (QoL).

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Minimally-invasive endoscopically-assisted neck dissection for lateral cervical metastases of thyroid papillary carcinoma

Cited by 19 publications

References 10 publications

Feasibility and safety of needle‐assisted endoscopic thyroidectomy with lateral neck dissection for papillary thyroid carcinoma: a preliminary experience

Feasibility and safety of needle‐assisted endoscopic thyroidectomy with lateral neck dissection for papillary thyroid carcinoma: a preliminary experience

Minimally Invasive Video-assisted Thyroidectomy vs Conventional Open Hemithyroidectomy in Asian Patients

Endoscopic Lateral Neck Dissection: A New Frontier in Endoscopic Thyroid Surgery

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