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Comparative study of gasless endoscopic selective lateral neck dissection via the anterior chest approach versus conventional open surgery for papillary thyroid carcinoma

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Abstract

Background

Although there has been increasing interest in aesthetical approaches for treating patients with papillary thyroid carcinoma (PTC), there have been no studies comparing the safety and effectiveness of gasless endoscopic selective lateral neck dissection (SLND) via the anterior chest approach (ACA) with that of conventional open surgery (OPEN) for papillary thyroid carcinoma.

Methods

A total of 91 patients with PTC who underwent either gasless endoscopic thyroidectomy, central compartment neck dissection and SLND via the ACA or conventional open surgery between Nov. 2008 to Dec. 2018 were included. Primary outcomes and demographic data were compared between the two groups.

Results

Thirty-one patients were in the ACA group and 60 were in the OPEN group. The ACA group was younger and had a longer operative time but less intraoperative hemorrhage (P < 0.001 for all). There were no differences in other clinicopathological features. During the median follow-up of 48 months (ACA group) and 35 months (OPEN group), no recurrence on US/CT was found. The patients in the ACA group had better cosmetic results assessed postoperatively.

Conclusion

It appeared that gasless endoscopic selective lateral neck dissection via the anterior chest approach achieved comparable safety and effectiveness as conventional open surgery for PTC and resulted in better cosmetic results.

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Acknowledgements

This study was supported by a research grant from the Sun Yat-Sen University Clinical Research 5010 Program (Grant 2010008).

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Author notes

  1. Peiliang Lin and Faya Liang have contributed equally to this work.

Authors and Affiliations

  1. Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Otolaryngology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, 33, Yingfeng Road, Guangzhou, 510289, Guangdong, China

    Peiliang Lin, Faya Liang, Qian Cai, Ping Han, Renhui Chen, Zhiwen Xiao, Jingyi Wang & Xiaoming Huang

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  1. Peiliang Lin
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  2. Faya Liang
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  3. Qian Cai
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Correspondence to Xiaoming Huang.

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Peiliang Lin, Faya Liang, Qian Cai, Ping Han, Renhui Chen, Zhiwen Xiao, Jingyi Wang and Xiaoming Huang have no conflicts of interest or financial ties to disclose.

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Lin, P., Liang, F., Cai, Q. et al. Comparative study of gasless endoscopic selective lateral neck dissection via the anterior chest approach versus conventional open surgery for papillary thyroid carcinoma. Surg Endosc 35, 693–701 (2021). https://doi.org/10.1007/s00464-020-07434-6

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  • DOI: https://doi.org/10.1007/s00464-020-07434-6

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