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Annals of Surgical Oncology

, Volume 22, Supplement 3, pp 669–675 | Cite as

Feasibility of Charcoal Tattooing for Localization of Metastatic Lymph Nodes in Robotic Selective Neck Dissection for Papillary Thyroid Carcinoma

  • Chang Myeon Song
  • Jeong Seon Park
  • Woosung Park
  • Yong Bae Ji
  • Seok Hyun Cho
  • Kyung TaeEmail author
Endocrine Tumors

Abstract

Background

This study aimed to evaluate the feasibility and effectiveness of ultrasound-guided charcoal tattooing in locating metastatic lymph nodes in robotic selective neck dissection (SND) for papillary thyroid carcinoma (PTC).

Methods

The overall study group comprised 21 patients with PTC who underwent robotic SND via a unilateral transaxillary approach for treatment of suspicious lymph node metastasis in the lateral compartment. Charcoal suspension was injected into 10 of the patients (total of 23 lesions) 1 day before robotic SND. The authors evaluated the location of the tattoos, the success rate of localization, the intraoperative detection rate, and the complications associated with the procedure. The perioperative results were compared with those in the control group of 11 patients who did not receive charcoal tattooing.

Results

Charcoal suspension was successfully injected into 22 of the 23 suspicious lymph nodes (95.7 %). The remaining lesion was located posterior to the internal jugular vein. Therefore, the charcoal was injected into the soft tissue around the lymph node. Ultrasound-guided injections were well tolerated in all the patients, and no major complications occurred. All the charcoal-tattooed lesions were identified intraoperatively by the surgeon. The number of harvested and metastatic lymph nodes in the lateral compartment was greater in the patients with charcoal tattoo localization than in the control group. The two groups did not differ in terms of perioperative complications, operation time, or volume of drainage.

Conclusion

Ultrasound-guided charcoal tattooing for localization of metastatic lymph nodes is feasible and effective in robotic SND for the treatment of PTC with lateral compartment lymph node metastasis.

Keywords

Charcoal Papillary Thyroid Carcinoma Neck Dissection Lateral Compartment Suspicious Lymph Node 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

There are no conflicts of interest.

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Copyright information

© Society of Surgical Oncology 2015

Authors and Affiliations

  • Chang Myeon Song
    • 1
  • Jeong Seon Park
    • 2
  • Woosung Park
    • 1
  • Yong Bae Ji
    • 1
  • Seok Hyun Cho
    • 1
  • Kyung Tae
    • 1
    Email author
  1. 1.Department of Otolaryngology-Head and Neck Surgery, College of MedicineHanyang UniversitySeoulKorea
  2. 2.Department of Radiology, College of MedicineHanyang UniversitySeoulKorea

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