Related Articles |
Comparability Between Video-Assisted and Open Lateral Neck Dissection for Papillary Thyroid Carcinoma with Lateral Neck Lymph Node Metastasis: A Potential Randomized Examine.
J Laparoendosc Adv Surg Tech A. 2017 Nov;27(11):1151-1157
Authors: Zhang D, Gao L, Xie L, He G, Chen J, Fang L, Cai X
Summary
BACKGROUND: The security and oncologic completeness of video-assisted lateral neck dissection (VALND) for papillary thyroid carcinoma (PTC) with lateral neck lymph node metastasis (LNM) have been reported. Nevertheless, their generalization has remained restricted as a result of the benefits and downsides aren’t nicely demonstrated.
MATERIALS AND METHODS: A complete of 64 sufferers with PTC and unilateral lateral neck LNM who underwent whole thyroidectomy with central compartment neck dissection and lateral neck dissection (LND) had been prospectively enrolled. They had been randomly assigned to the video-assisted (VA) group (n?=?32) or open group (n?=?32) and had been handled both by VALND or typical open LND, respectively. We in contrast working time, problems, oncologic completeness, postoperative ache, and beauty outcomes between the 2 teams.
RESULTS: The complication fee and oncologic completeness, together with the outcomes of radioactive iodine scans, imply variety of lymph nodes retrieved, and imply postoperative serum thyroglobulin ranges, had been related between the teams. Postoperative ache was noticed much less incessantly after surgical procedure within the VA group (P?<?.0001). Beauty outcomes evaluated by a verbal response scale and a numeric score scale had been in favor of the VA group (P?<?.0001 and P?=?.0004, respectively). Whole working time was 176?±?16 minutes within the VA group and 161?±?16 minutes within the open group (P?=?.0003).
CONCLUSIONS: VALND yielded complication and oncologic completeness charges that had been just like these of open LND. Nevertheless, VALND resulted in much less postoperative ache and higher beauty outcomes.
PMID: 28488911 [PubMed – indexed for MEDLINE]