scholarly journals Papillary Thyroid Cancer with Synchronous Lymph Nodes Metastases: Left Lateral Neck Dissection and Total Thyroidectomy with Continuous Intraoperative Nerve

2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Maria G. Chiofalo ◽  
Luciano Pezzullo
Keyword(s):  
Thyroid Cancer ◽  
Lymph Nodes ◽  
Total Thyroidectomy ◽  
Neck Dissection ◽  
Papillary Thyroid Cancer ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Lateral Neck Dissection ◽  
Lymph Nodes Metastases

scholarly journals Qin’s seven steps for endoscopic selective lateral neck dissection via the chest approach in patients with papillary thyroid cancer: experience of 35 cases

2021 ◽  
Author(s):  
Zhen-Xin Chen ◽  
Ya-Min Song ◽  
Jing-Bao Chen ◽  
Xiao-Bo Zhang ◽  
Zhan-Hong Lin ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Lymph Nodes ◽  
Neck Dissection ◽  
Nerve Injury ◽  
Papillary Thyroid Cancer ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Lateral Neck Dissection ◽  
Level Ii ◽  
The Mean

Abstract Background Endoscopic thyroidectomy is widely performed as it does not result in neck scar. However, there is a paucity of reports pertaining to completely endoscopic lateral neck dissection (LND). In this study, we introduce our step-wise approach for performing endoscopic selective LND via the chest–breast approach. We refer to this approach as Qin’s seven steps. Methods The Qin’s seven steps are: (1) establishment of working space range; (2) dissection of lymph nodes between the SCM and the sternohyoid muscle (level IV) and exposure of omohyoid; (3) dissection of lymph nodes at level IV; (4) dissection of lymph nodes at level III; (5) dissection of lymph nodes at carotid triangle (level III); (6) exposure of accessory nerve and dissection of lymph nodes at level II a; (7) dissection of lymph nodes at level II b. We reviewed the clinical data of 35 patients with papillary thyroid cancer (PTC) who were operated using the Qin’s seven steps. Results All 35 patients successfully underwent LND; bilateral LND was performed in 5 patients. The mean tumor size was 1.8 ± 1.0 cm; seven patients had multiple lesions. The mean number of retrieved lymph nodes in level II, III and IV were 8.8 ± 5.6, 6.1 ± 4.0 and 9.3 ± 5.1, respectively. As for complications, there were 3 cases of accessory nerve injury and 1 case of hypoglossal nerve injury. Internal jugular vein injury, cervical plexus injury and lymphatic leakage occurred in 2, 7, and 1 patients, respectively. Conclusion The Qin’s seven steps for performing endoscopic selective LND could be safely used in PTC patients with lateral lymph node metastasis. Satisfactory results were achieved in the short-term follow-up period. We recommend the use of Qin’s seven steps for PTC patients who are not desirous of neck scar.

Risk Factors for Recurrence After Therapeutic Lateral Neck Dissection for Primary Papillary Thyroid Cancer

2014 ◽  
Vol 21 (6) ◽  
pp. 1884-1890 ◽  
Author(s):  
Su-jin Kim ◽  
Seog Yun Park ◽  
You Jin Lee ◽  
Eun Kyung Lee ◽  
Seok-ki Kim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Thyroid Cancer ◽  
Neck Dissection ◽  
Papillary Thyroid Cancer ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Lateral Neck Dissection ◽  
Risk Factors For Recurrence

scholarly journals Impact of BMI on Complications and Satisfaction in Patients With Papillary Thyroid Cancer and Lateral Neck Metastasis

2019 ◽  
Vol 26 (1) ◽  
pp. 107327481985383 ◽  
Author(s):  
Qiu-feng Jin ◽  
Qi-gen Fang ◽  
Jin-xing Qi ◽  
Peng Li
Keyword(s):  
Thyroid Cancer ◽  
Neck Dissection ◽  
Papillary Thyroid Cancer ◽  
Population Characteristics ◽  
Obese Patients ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Lateral Neck Dissection ◽  
Subjective Satisfaction ◽  
Increased Risk

Background: This study investigates the effect of body mass index (BMI) on complications and satisfaction in patients who underwent thyroidectomy and lateral neck dissection. Methods: We retrospectively reviewed 386 patients with papillary thyroid cancer who underwent total thyroidectomy and lateral neck dissection between January 2013 and December 2016. We compared variables including population characteristics, subjective satisfaction, and complications in nonobese (BMI < 28.0 kg/m2) and obese (BMI ≥ 28.0 kg/m2) patients. Results: Obesity was associated with an increased risk of postoperative hemorrhage (POH) ( P = .014), accessory nerve injury ( P < .001), operative time ( P < .001) and infection ( P = .013). However, obese patients had higher subjective satisfaction and Vancouver Scar Scale (VSS) scores ( P < .05). Conclusions: Obesity was associated with increased risk of POH, injury of the SAN, and infection. Interestingly, we found that obese patients had higher subjective satisfaction and VSS scores.

Lateral neck dissection in the management of papillary thyroid cancer

2015 ◽  
Vol 87 (1) ◽  
pp. 49-52
Author(s):  
I. Koutelidakis ◽  
S. Kalaitzis ◽  
G. Chatzimavroudis ◽  
J. Makris
Keyword(s):  
Thyroid Cancer ◽  
Neck Dissection ◽  
Papillary Thyroid Cancer ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Lateral Neck Dissection

scholarly journals Pattern of neck recurrence after lateral neck dissection for cervical metastases in papillary thyroid cancer

Surgery ◽  
2016 ◽  
Vol 159 (6) ◽  
pp. 1565-1571 ◽  
Author(s):  
William F. McNamara ◽  
Laura Y. Wang ◽  
Frank L. Palmer ◽  
Iain J. Nixon ◽  
Jatin P. Shah ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Neck Dissection ◽  
Papillary Thyroid Cancer ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Lateral Neck Dissection ◽  
Cervical Metastases ◽  
Neck Recurrence
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