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Endoscopic Central Lymph Node Dissection via Breast Combined with Oral Approach for Papillary Thyroid Carcinoma: A Preliminary Study

Abstract

Objective

To investigate the feasibility and necessity of endoscopic thyroidectomy with central lymph node dissection via the combined breast and trans-oral approaches.

Methods

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.

Results

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.

Conclusions

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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References

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Acknowledgements

The study was approved by the Medical Ethics Committee of Zhongshan Hospital Affiliated with Xiamen University, Xiamen, Fujian, China (Approval No. 2015017).

Funding

This work was supported by the National Natural Science Foundation of China (81172285).

Author information

Correspondence to Guo-yang Wu.

Ethics declarations

Conflict of interest

The authors have no conflict of interest to declare.

Informed consent

All study participants provide written informed consent.

Additional information

Guo-yang Wu and Jin-bo Fu are joint first authors.

Electronic supplementary material

Below is the link to the electronic supplementary material.

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)

Online resource 1

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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Cite this article

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

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Keywords

  • Thyroid Carcinoma
  • Papillary Thyroid Carcinoma
  • Endoscopic Resection
  • Central Lymph Node
  • Endoscopic Thyroidectomy