AI Article Synopsis
- The study evaluated the feasibility of transoral robotic selective neck dissection (SND) for patients with papillary thyroid carcinoma.
- Out of 14 patients, 10 underwent a purely transoral approach, while 4 had a combination with a postauricular incision; the majority of surgeries were successful.
- The transoral approach showed good outcomes with minimal complications, making it a viable option for neck dissection in this patient group.
Article Abstract
Background: The study aimed to evaluate the feasibility of transoral robotic selective neck dissection (SND) with or without a postauricular incision for papillary thyroid carcinoma (PTC).
Methods: We studied 14 patients with PTC who underwent robotic SND the transoral or combined transoral and postauricular approaches.
Results: The transoral approach was performed on 10 patients for dissection of levels III and IV. An additional postauricular incision was made on 4 patients for dissection of level II in addition to levels III, IV, and V. The operation was completed successfully in 13 patients, except 1 patient with the procedure conversion due to uncontrolled bleeding from the internal jugular vein. The mean numbers of removed lymph nodes in the lateral compartment were 23.1 ± 9.4 and 38.3 ± 8.5 in the transoral and combined groups. Transient recurrent laryngeal nerve palsy occurred in 1 patient, transient hypoparathyroidism in 3 patients, and chyle leakage in 1 patient. There were no hematomas, mental nerve injuries, surgical space infections, or CO embolisms.
Conclusion: Transoral robotic SND is feasible with or without a postauricular incision.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592833 | PMC |
| http://dx.doi.org/10.3389/fsurg.2022.985097 | DOI Listing |
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