Wang Bo, Weng Yu-Jing, Wang Si-Si, Zhao Wen-Xin, Yan Shou-Yi, Zhang Li-Yong, Wen Jia
Department of Thyroid and Vascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Head Neck. 2019 Jul;41(7):2367-2375. doi: 10.1002/hed.25705. Epub 2019 Feb 18.
Endoscopic thyroidectomy is popular among patients with cosmetic requirements. However, when lateral neck dissection (LND) is required, endoscopic surgery may be challenging. Therefore, we introduced needle-assisted endoscopic technique to achieve endoscopic LND procedure and evaluated its safety and feasibility in the present study.
Medical records of 37 patients who underwent needle-assisted endoscopic thyroidectomy with LND were retrospectively reviewed.
All of 37 patients had excellent cosmetic outcomes. The mean operative time was 338.2 ± 58.74 minutes. Mean number of lymph nodes retrieved in the lateral was 33.5 ± 11.69 and 15.9 ± 7.51 in the central neck. The rates of transient and permanent hypocalcemia were 32.4% and 2.7% and the rates of transient and permanent recurrent laryngeal nerve palsy were 8.1% and 0%, respectively.
Needle-assisted endoscopic thyroidectomy with lateral neck dissection shows potential feasibility but further study is needed to better characterize its safety and applicability.
内镜甲状腺切除术在有美容需求的患者中很受欢迎。然而，当需要进行侧颈淋巴结清扫术（LND）时，内镜手术可能具有挑战性。因此，我们引入了针辅助内镜技术来实现内镜下LND手术，并在本研究中评估了其安全性和可行性。
回顾性分析37例行针辅助内镜甲状腺切除术并进行LND的患者的病历。
37例患者均获得了良好的美容效果。平均手术时间为338.2±58.74分钟。侧颈平均切除淋巴结数为33.5±11.69枚，中央区为15.9±7.51枚。暂时性和永久性低钙血症的发生率分别为32.4%和2.7%，暂时性和永久性喉返神经麻痹的发生率分别为8.1%和0%。
针辅助内镜甲状腺切除术联合侧颈淋巴结清扫术显示出潜在的可行性，但需要进一步研究以更好地明确其安全性和适用性。
