scholarly journals Surgical Skills and Technological Advancements to Avoid Complications in Lateral Neck Dissection for Differentiated Thyroid Cancer

Cancers ◽  
2021 ◽  
Vol 13 (14) ◽  
pp. 3379
Author(s):  
Aldo Bove ◽  
Maira Farrukh ◽  
Adele Di Gioia ◽  
Velia Di Resta ◽  
Angelica Buffone ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Neck Dissection ◽  
New Technologies ◽  
Lymphatic Invasion ◽  
Surgical Skills ◽  
Safe Procedure ◽  
Surgical Experience ◽  
Lateral Neck Dissection ◽  
Significant Interest ◽  
Surgical Preparation

Neck dissection is a surgical procedure reserved for thyroid cancer cases with clinically evident lymphatic invasion. Although neck dissection is a reliable and safe procedure, it can determine a significant morbidity involving a variety of structures of nervous, vascular and endocrine typology. A careful pre-operative study is therefore essential to better plan surgery. Surgical experience, combined with accurate surgical preparation and merged with adequate and specific techniques, can certainly help reduce the percentage of complications. In recent years, however, technology has also proved to be useful. Its crucial role was already recognized in the safeguard of the integrity of the laryngeal nerve through neuro-monitoring, but new technologies are emerging to help the preservation also of the parathyroid glands and other structures, such as the thoracic duct. These surgical skills combined with the latest technological advancements, that allow us to reduce the incidence of complications after neck dissection for thyroid cancer, will be reported in the present article. This topic is of significant interest for the endocrine and metabolic surgeons’ community.

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 Management of Chyle Leak in the Neck Following Thyroid Cancer Surgery: A Single Center Experience

2015 ◽  
Vol 7 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Deepak Thomas Abraham ◽  
Anish Cherian ◽  
Mazhuvanchary Jacob Paul
Keyword(s):  
Thyroid Cancer ◽  
Neck Dissection ◽  
Thoracic Duct ◽  
Cancer Surgery ◽  
Safe Procedure ◽  
Single Center ◽  
Chyle Leak ◽  
Single Center Experience ◽  
Thoracic Duct Injury ◽  
Combination Of Methods

ABSTRACT Introduction Surgery for thyroid cancers often necessitates a neck dissection. This is usually a safe procedure, but can be associated with complications. Chyle leak is one such complication, fortunately rare. There is a dearth of literature with regard to the management of chyle leak in the neck. We present a single center experience in the management of chyle leak in the neck, to improve the understanding of its management. Materials and methods A retrospective analysis of patients with thyroid cancer, managed between January 1st 2005 and December 31st 2011, in a single institution was performed. Among these, patients with chyle leak were identified. All pertinent data collected and results analyzed using STATA (v10). Results Three hundred and seventy-three/eight hundred and twenty-one (45.4%) patients surgically managed for thyroid cancer underwent a neck dissection. Thoracic duct injury was recog- nized and managed intraoperatively in 20/373 (5.4%) patients. The leak was prevented in the majority (66.6%) of patients in whom a combination of methods were employed. 25/373 (6.7%) patients were diagnosed and managed for chyle leak postoperatively. Seven patients required re-exploration. This included patients with low output chyle leaks who may have settled in a week to 10 days with conservative management. A combination of techniques was successful in the majority (71.4%). The remaining patients were successfully managed conservatively. Conclusion We conclude that using a combination of methods to manage thoracic duct injury may be better than using a single modality alone. Early re-exploration was more economical and acceptable for a subset of our patients, as they come from long distances at personal cost. How to cite this article Cherian a, Ramakant P, Paul MJ, Abraham DT. Management of Chyle Leak in the Neck Following Thyroid Cancer Surgery: A Single Center Experience. World J Endoc Surg 2015;7(1):6-9.

Factors predisposing to chyle leakage following thyroid cancer surgery without lateral neck dissection

Head & Neck ◽  
2012 ◽  
Vol 35 (8) ◽  
pp. 1149-1152 ◽  
Author(s):  
Yong Sang Lee ◽  
Bup-Woo Kim ◽  
Hang-Seok Chang ◽  
Cheong Soo Park
Keyword(s):  
Thyroid Cancer ◽  
Neck Dissection ◽  
Cancer Surgery ◽  
Lateral Neck ◽  
Lateral Neck Dissection ◽  
Chyle Leakage

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.

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