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Comparison of Conventional and Video-Assisted Lateral Neck Lymphadenectomy for Thyroid Cancer

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Abstract

The thoroughness and safety of removal of lymph nodes by endoscopic thyroidectomy is questioned. We applied video-assisted lateral neck lymphadenectomy and evaluated its feasibility and safety. Sixty-six patients with papillary thyroid carcinoma (PTC) and lateral neck lymph node metastasis (TNM staging: cN1b) who agreed to surgical therapies were retrospectively compared. The patients were divided into two groups: a conventional lateral neck lymphadenectomy group (CL group) and a minimally invasive video-assisted lateral neck lymphadenectomy group (VALNL group). Several parameters, including operative time, length of incision, operative hemorrhage, postoperative drainage, postoperative complications, and length and costs of hospitalization were compared. No significant differences were found in age, sex, blood loss, postoperative drainage, postoperative complications, number of lymph nodes resected, or length and costs of hospitalization (all P > 0.05), but the surgery time was longer for the VALNL group than for the CL group (P < 0.01). Fewer patients had local skin paresthesia in the VALNL group (P < 0.01), and the incision length was shorter in the VALNL group than in the CL group (P < 0.01). Video-assisted lateral neck lymphadenectomy for metastatic PTC is feasible and safe, and it has similar short-term outcomes and similar costs when compared with traditional open surgery.

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Abbreviations

PTV:

papillary thyroid cancer

CL:

conventional lymphadenectomy

VALNL:

video-assisted lateral neck lymphadenectomy

References

  1. La Vecchia C, Malvezzi M, Bosetti C, Garavello W, Bertuccio P, Levi F, Negri E (2015) Thyroid cancer mortality and incidence: a global overview. Int J Cancer 136(9):2187–2195. https://doi.org/10.1002/ijc.29251

    Article  CAS  PubMed  Google Scholar 

  2. Davies L, Welch HG (2014) Current thyroid cancer trends in the United States. JAMA Otolaryngol Head Neck Surg 140(4):317–322. https://doi.org/10.1001/jamaoto.2014.1

    Article  PubMed  Google Scholar 

  3. Siegel RL, Miller KD, Jemal A (2019) Cancer statistics, 2019. CA Cancer J Clin 69(1):7–34. https://doi.org/10.3322/caac.21551

    Article  PubMed  Google Scholar 

  4. Anuwong A, Ketwong K, Jitpratoom P, Sasanakietkul T, Duh QY (2018) Safety and outcomes of the transoral endoscopic thyroidectomy vestibular approach. JAMA Surg 153(1):21–27. https://doi.org/10.1001/jamasurg.2017.3366

    Article  PubMed  Google Scholar 

  5. Moo TA, Fahey TJ 3rd (2011) Lymph node dissection in papillary thyroid carcinoma. Semin Nucl Med 41(2):84–88. https://doi.org/10.1053/j.semnuclmed.2010.10.003

    Article  PubMed  Google Scholar 

  6. Kim EY, Lee KH, Park YL, Park CH, Lee CR, Jeong JJ, Nam KH, Chung WY, Yun JS (2017) Single-incision, gasless, endoscopic trans-axillary total thyroidectomy: a feasible and oncologic safe surgery in patients with papillary thyroid carcinoma. J Laparoendosc Adv Surg Tech A 27(11):1158–1164. https://doi.org/10.1089/lap.2016.0669

    Article  PubMed  Google Scholar 

  7. Kim SK, Kang SY, Youn HJ, Jung SH (2016) Comparison of conventional thyroidectomy and endoscopic thyroidectomy via axillo-bilateral breast approach in papillary thyroid carcinoma patients. Surg Endosc 30(8):3419–3425. https://doi.org/10.1007/s00464-015-4624-9

    Article  PubMed  Google Scholar 

  8. Zhang D, Gao L, Xie L, He G, Chen J, Fang L, Cai X (2017) Comparison between video-assisted and open lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastasis: a prospective randomized study. J Laparoendosc Adv Surg Tech A 27(11):1151–1157. https://doi.org/10.1089/lap.2016.0650

    Article  PubMed  Google Scholar 

  9. Miccoli P, Bellantone R, Mourad M, Walz M, Raffaelli M, Berti P (2002) Minimally invasive video-assisted thyroidectomy: multiinstitutional experience. World J Surg 26(8):972–975. https://doi.org/10.1007/s00268-002-6627-7

    Article  PubMed  Google Scholar 

  10. Roh JL, Park CI (2008) Sentinel lymph node biopsy as guidance for central neck dissection in patients with papillary thyroid carcinoma. Cancer 113(7):1527–1531. https://doi.org/10.1002/cncr.23779

    Article  PubMed  Google Scholar 

  11. White ML, Gauger PG, Doherty GM (2007) Central lymph node dissection in differentiated thyroid cancer. World J Surg 31(5):895–904. https://doi.org/10.1007/s00268-006-0907-6

    Article  PubMed  Google Scholar 

  12. Wu B, Ding Z, Fan Y, Deng X, Guo B, Kang J, Zhong C, Yang Z, Zheng Q (2013) Video-assisted selective lateral neck dissection for papillary thyroid carcinoma. Langenbeck's Arch Surg 398(3):395–401. https://doi.org/10.1007/s00423-012-1045-2

    Article  Google Scholar 

  13. Patron V, Hitier M, Bedfert C, Métreau A, Dugué A, Jegoux F (2013) Predictive factors for lateral occult lymph node metastasis in papillary thyroid carcinoma. Eur Arch Otorhinolaryngol 270(7):2095–2100. https://doi.org/10.1007/s00405-012-2305-z

    Article  PubMed  Google Scholar 

  14. Radford PD, Ferguson MS, Magill JC, Karthikesalingham AP, Alusi G (2011) Meta-analysis of minimally invasive video-assisted thyroidectomy. Laryngoscope 121(8):1675–1681. https://doi.org/10.1002/lary.21864

    Article  PubMed  Google Scholar 

  15. Yan H, Wang Y, Wang P, Xie Q, Zhao Q (2015) “Scarless” (in the neck) endoscopic thyroidectomy (SET) with ipsilateral levels II, III, and IV dissection via breast approach for papillary thyroid carcinoma: a preliminary report. Surg Endosc 29(8):2158–2163. https://doi.org/10.1007/s00464-014-3911-1

    Article  PubMed  Google Scholar 

  16. Kang SW, Lee SH, Park JH, Jeong JS, Park S, Lee CR, Jeong JJ, Nam KH, Chung WY, Park CS (2012) A comparative study of the surgical outcomes of robotic and conventional open modified radical neck dissection for papillary thyroid carcinoma with lateral neck node metastasis. Surg Endosc 26(11):3251–3257. https://doi.org/10.1007/s00464-012-2333-1

    Article  PubMed  Google Scholar 

  17. Lee J, Kwon IS, Bae EH, Chung WY (2013) Comparative analysis of oncological outcomes and quality of life after robotic versus conventional open thyroidectomy with modified radical neck dissection in patients with papillary thyroid carcinoma and lateral neck node metastases. J Clin Endocrinol Metab 98(7):2701–2708. https://doi.org/10.1210/jc.2013-1583

    Article  CAS  PubMed  Google Scholar 

  18. Wang Y, Liu K, Xiong J, Zhu J (2015) Total endoscopic versus conventional open thyroidectomy for papillary thyroid microcarcinoma. J Craniofac Surg 26(2):464–468. https://doi.org/10.1097/SCS.0000000000001449

    Article  CAS  PubMed  Google Scholar 

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Funding

This work was partially supported by a Central Universities of China grant awarded to Zhiliang Xu (Grant NO: 2042017kf0162). Hubei Province Health and Family Planning scientific research projects were awarded to Zhiliang Xu (Grant NO: WJ2019M188) and to Yanyan Meng (Grant NO: WJ2019M197).

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Authors and Affiliations

  1. Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan, 430060, Hubei, People’s Republic of China

    Zhiliang Xu, Junlong Song, Bei Li & Shengrong Sun

  2. Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, 430060, Hubei, People’s Republic of China

    Yanyan Meng

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  1. Zhiliang Xu
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  2. Junlong Song
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  3. Bei Li
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Correspondence to Yanyan Meng.

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Xu, Z., Song, J., Li, B. et al. Comparison of Conventional and Video-Assisted Lateral Neck Lymphadenectomy for Thyroid Cancer. Indian J Surg 82, 360–366 (2020). https://doi.org/10.1007/s12262-019-01966-5

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