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Video-assisted selective lateral neck dissection for papillary thyroid carcinoma

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Abstract

Background

The minimally invasive video-assisted thyroidectomy (MIVAT) for thyroid benign nodules and central neck dissection (CND) for papillary thyroid microcarcinoma (PTMC) have been applied, presently, we attempted to perform video-assisted selective lateral neck dissection (VASLND) for papillary thyroid carcinoma (PTC).

Methods

Twenty-six consecutive PTC patients with unilateral tumor (size <4.0 cm) and suspected lymph node metastasis at level III, IV, or IIa were included from March 2009 to January 2012.

Results

VASLND was successfully performed in all 26 PTC patients. The mean operative time was 46 min (range 26–75 min) on VASLND. No major complications occurred. Average postoperative hospital stay was 3.6 days (range 2–8 days). The mean number of removed nodes was 7.3 (range4–12) in central neck and 8.3 (range 3–21) in lateral compartment. Positive yield amounted to a mean value of 2.6 (range 0–5) and 3 (range 0–6), respectively. No persistent or recurrent disease was observed in any patient during a follow-up period. The cosmetic result was excellent.

Conclusions

Our initial experience demonstrates that VASLND is feasible and safe for selected PTCs, with superior appearance and less pain. Nevertheless, larger series and comparative studies with longer follow-up could be necessary to confirm its oncological effectiveness.

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Conflicts of interest

The authors declare that they have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Surgery, Affiliated Sixth People’s Hospital, Shanghai Jiaotong University, Shanghai, 200233, China

    Bo Wu, Zheng Ding, Youben Fan, Xianzhao Deng, Bomin Guo, Jie Kang, Chunlin Zhong, Zhili Yang & Qi Zheng

  2. Medical Center of Thyroid Disease, Shanghai Jiaotong University, Shanghai, 200233, China

    Bo Wu, Zheng Ding, Youben Fan, Xianzhao Deng, Bomin Guo, Jie Kang, Chunlin Zhong, Zhili Yang & Qi Zheng

  3. Room 5C, Building 3, Lane 600, LiuZhou Road, Shanghai, 200233, China

    Youben Fan

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  1. Bo Wu
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  2. Zheng Ding
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  3. Youben Fan
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  4. Xianzhao Deng
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  5. Bomin Guo
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  6. Jie Kang
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  7. Chunlin Zhong
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  8. Zhili Yang
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  9. Qi Zheng
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Corresponding author

Correspondence to Youben Fan.

Additional information

Bo Wu and Zheng Ding are both first authors and contributed equally to this paper.

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Wu, B., Ding, Z., Fan, Y. et al. Video-assisted selective lateral neck dissection for papillary thyroid carcinoma. Langenbecks Arch Surg 398, 395–401 (2013). https://doi.org/10.1007/s00423-012-1045-2

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  • DOI: https://doi.org/10.1007/s00423-012-1045-2

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