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Minimally invasive selective neck dissection: a prospective study of endoscopically assisted dissection via a small submandibular approach in cT(1-2_N(0) oral squamous cell carcinoma.
Ann Surg Oncol. 2014 Nov; 21(12):3876-81.AS

Abstract

BACKGROUND

Selective neck dissection (SND) in clinical N0 (cN0) cases of oral squamous cell carcinoma (SCC) has been performed by surgeons using a retroauricular or modified facelift approach with robotic or endoscopic assistance. However, these procedures provide cosmetic satisfaction at the cost of possible maximal invasiveness. In this prospective study, we introduced and evaluated the feasibility as well as surgical invasiveness and cosmetic outcome of endoscopically-assisted SND via a small submandibular approach.

METHODS

Forty-four patients with cT1-2N0 oral SCC (OSCC) were randomly divided into two groups of endoscopically-assisted SND and conventional SND. Perioperative and postoperative outcomes of patients were evaluated, including the length of the incision, operating time for neck dissection, estimated blood loss during the operation, amount and duration of drainage, total hospitalization period, total number of lymph nodes retrieved, satisfaction scores based on the cosmetic results, perioperative local complications, shoulder syndrome, and follow-up information.

RESULTS

The mean operation time in the endoscopically-assisted group (126.04 ± 12.67 min) was longer than that in the conventional group (75.67 ± 16.67 min). However, the mean length of the incision was 4.33 ± 0.76 cm in the endoscopically-assisted SND group, and the amount and duration of drainage, total hospital stay, postoperative shoulder pain score, and cosmetic outcomes were superior in the endoscopically-assisted SND group. Additionally, the retrieved lymph nodes and complications were comparable.

CONCLUSIONS

Endoscopically-assisted SND via a small submandibular approach had a longer operation time than the conventional approach. However, endoscopically-assisted SND was feasible and reliable while providing minimal invasiveness and satisfactory appearance.

Authors+Show Affiliations

Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24912615

Citation

Fan, Song, et al. "Minimally Invasive Selective Neck Dissection: a Prospective Study of Endoscopically Assisted Dissection Via a Small Submandibular Approach in cT(1-2_N(0) Oral Squamous Cell Carcinoma." Annals of Surgical Oncology, vol. 21, no. 12, 2014, pp. 3876-81.
Fan S, Liang FY, Chen WL, et al. Minimally invasive selective neck dissection: a prospective study of endoscopically assisted dissection via a small submandibular approach in cT(1-2_N(0) oral squamous cell carcinoma. Ann Surg Oncol. 2014;21(12):3876-81.
Fan, S., Liang, F. Y., Chen, W. L., Yang, Z. H., Huang, X. M., Wang, Y. Y., Lin, Z. Y., Zhang, D. M., Zhou, B., Chen, W. X., Chai, Q., Wang, H. J., Pan, C. B., Liang, Q. X., Yu, X., Dias-Ribeiro, E., Feng, Y. H., & Li, J. S. (2014). Minimally invasive selective neck dissection: a prospective study of endoscopically assisted dissection via a small submandibular approach in cT(1-2_N(0) oral squamous cell carcinoma. Annals of Surgical Oncology, 21(12), 3876-81. https://doi.org/10.1245/s10434-014-3833-0
Fan S, et al. Minimally Invasive Selective Neck Dissection: a Prospective Study of Endoscopically Assisted Dissection Via a Small Submandibular Approach in cT(1-2_N(0) Oral Squamous Cell Carcinoma. Ann Surg Oncol. 2014;21(12):3876-81. PubMed PMID: 24912615.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Minimally invasive selective neck dissection: a prospective study of endoscopically assisted dissection via a small submandibular approach in cT(1-2_N(0) oral squamous cell carcinoma. AU - Fan,Song, AU - Liang,Fa-Ya, AU - Chen,Wei-Liang, AU - Yang,Zhao-Hui, AU - Huang,Xiao-Ming, AU - Wang,You-Yuan, AU - Lin,Zhao-Yu, AU - Zhang,Da-Ming, AU - Zhou,Bin, AU - Chen,Wei-Xiong, AU - Chai,Qiang, AU - Wang,Hui-Jin, AU - Pan,Chao-Bin, AU - Liang,Qi-Xiang, AU - Yu,Xin, AU - Dias-Ribeiro,Eduardo, AU - Feng,Yu-Huan, AU - Li,Jin-Song, Y1 - 2014/06/10/ PY - 2014/04/17/received PY - 2014/6/11/entrez PY - 2014/6/11/pubmed PY - 2015/6/17/medline SP - 3876 EP - 81 JF - Annals of surgical oncology JO - Ann. Surg. Oncol. VL - 21 IS - 12 N2 - BACKGROUND: Selective neck dissection (SND) in clinical N0 (cN0) cases of oral squamous cell carcinoma (SCC) has been performed by surgeons using a retroauricular or modified facelift approach with robotic or endoscopic assistance. However, these procedures provide cosmetic satisfaction at the cost of possible maximal invasiveness. In this prospective study, we introduced and evaluated the feasibility as well as surgical invasiveness and cosmetic outcome of endoscopically-assisted SND via a small submandibular approach. METHODS: Forty-four patients with cT1-2N0 oral SCC (OSCC) were randomly divided into two groups of endoscopically-assisted SND and conventional SND. Perioperative and postoperative outcomes of patients were evaluated, including the length of the incision, operating time for neck dissection, estimated blood loss during the operation, amount and duration of drainage, total hospitalization period, total number of lymph nodes retrieved, satisfaction scores based on the cosmetic results, perioperative local complications, shoulder syndrome, and follow-up information. RESULTS: The mean operation time in the endoscopically-assisted group (126.04 ± 12.67 min) was longer than that in the conventional group (75.67 ± 16.67 min). However, the mean length of the incision was 4.33 ± 0.76 cm in the endoscopically-assisted SND group, and the amount and duration of drainage, total hospital stay, postoperative shoulder pain score, and cosmetic outcomes were superior in the endoscopically-assisted SND group. Additionally, the retrieved lymph nodes and complications were comparable. CONCLUSIONS: Endoscopically-assisted SND via a small submandibular approach had a longer operation time than the conventional approach. However, endoscopically-assisted SND was feasible and reliable while providing minimal invasiveness and satisfactory appearance. SN - 1534-4681 UR - https://www.unboundmedicine.com/medline/citation/24912615/Minimally_invasive_selective_neck_dissection:_a_prospective_study_of_endoscopically_assisted_dissection_via_a_small_submandibular_approach_in_cT_1_2_N_0__oral_squamous_cell_carcinoma_ L2 - https://dx.doi.org/10.1245/s10434-014-3833-0 DB - PRIME DP - Unbound Medicine ER -