Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, No. 222, Maijin Rd., Anle Dist., Keelung City, 204, Taiwan.
College of Medicine, Chang Gung University, Taoyuan, Taiwan.
J Otolaryngol Head Neck Surg. 2022 May 11;51(1):20. doi: 10.1186/s40463-022-00567-9.
Neck dissection is an integral component of the treatment of head and neck cancers. The present meta-analysis aimed to compare the use of endoscope-assisted neck dissection (END) with conventional neck dissection (CND) in the existing English literature.
A search of PubMed (MEDLINE), Embase, and the Cochrane Library for articles reporting the results of the two techniques of neck dissection was completed independently by two individuals. The authors analyzed the data from each study using a random-effects model.
The pooled analysis demonstrated comparable lymph node yield, intraoperative blood loss, incidence of locoregional recurrence, and incidence of complications between the two groups. A significantly longer operative time but a shorter length of hospital stay was observed in the END group compared with the other group.
Compared with conventional techniques, END offers similar oncologic outcomes and complication rates; however, it requires a longer operative time. Future studies with long-term follow-up and assessment of patient satisfaction are needed to confirm the clinical use of END.
颈部解剖术是头颈部癌症治疗的一个组成部分。本荟萃分析旨在比较内镜辅助颈部解剖术（END）与传统颈部解剖术（CND）在现有英文文献中的应用。
两人独立检索 PubMed（MEDLINE）、Embase 和 Cochrane 图书馆中报道两种颈部解剖术结果的文章。作者使用随机效应模型分析了每项研究的数据。
汇总分析表明，两组间淋巴结产量、术中出血量、局部区域复发率和并发症发生率相当。与对照组相比，END 组的手术时间明显较长，但住院时间较短。
与传统技术相比，END 具有相似的肿瘤学结果和并发症发生率；然而，它需要更长的手术时间。需要进行长期随访和评估患者满意度的未来研究，以确认 END 的临床应用。
