To investigate the feasibility and necessity of endoscopic thyroidectomy with central lymph node dissection via the combined breast and trans-oral approaches.
Six patients with papillary thyroid carcinoma who underwent endoscopic total thyroidectomy with central node dissection via combined breast and trans-oral approaches from November 2014 to January 2015 in Zhongshan Hospital, Xiamen University, were analyzed.
After completion of endoscopic central lymph node dissection via the traditional breast approach, eight pieces of lymph nodes could still be dissected via the trans-oral approach. Two of these eight pieces were positive for thyroid cancer metastasis.
It is advisable to perform endoscopic central lymph node dissection for thyroid carcinoma via the breast approach combined with the trans-oral approach.
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The study was approved by the Medical Ethics Committee of Zhongshan Hospital Affiliated with Xiamen University, Xiamen, Fujian, China (Approval No. 2015017).
This work was supported by the National Natural Science Foundation of China (81172285).
Conflict of interest
The authors have no conflict of interest to declare.
All study participants provide written informed consent.
Guo-yang Wu and Jin-bo Fu are joint first authors.
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Endoscopic central lymph node dissection via breast combined with oral approach for papillary thyroid carcinoma. EBSLN external branch of the superior laryngeal nerve (MP4 137295 kb)
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Wu, G., Fu, J., Lin, F. et al. Endoscopic Central Lymph Node Dissection via Breast Combined with Oral Approach for Papillary Thyroid Carcinoma: A Preliminary Study. World J Surg 41, 2280–2282 (2017). https://doi.org/10.1007/s00268-017-4015-6
- Thyroid Carcinoma
- Papillary Thyroid Carcinoma
- Endoscopic Resection
- Central Lymph Node
- Endoscopic Thyroidectomy