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

Página do item simplificado
dc.contributor.authorFan, Song
dc.contributor.authorLiang, Fa-Ya
dc.contributor.authorChen, Wei-Liang
dc.contributor.authorYang, Zhao-Hui
dc.contributor.authorHuang, Xiao-Ming
dc.contributor.authorWang, You-Yuan
dc.contributor.authorLin, Zhao-Yu
dc.contributor.authorZhang, Da-Ming
dc.contributor.authorZhou, Bin
dc.contributor.authorChen, Wei-Xiong
dc.contributor.authorChai, Qiang
dc.contributor.authorWang, Hui-Jin
dc.contributor.authorPan, Chao-Bin
dc.contributor.authorLiang, Qi-Xiang
dc.contributor.authorYu, Xin
dc.contributor.authorDias-Ribeiro, Eduardo [UNESP]
dc.contributor.authorFeng, Yu-Huan
dc.contributor.authorLi, Jin-Song
dc.contributor.institutionSun Yat Sen Univ
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2015-03-18T15:55:54Z
dc.date.available2015-03-18T15:55:54Z
dc.date.issued2014-11-01
dc.description.abstractSelective neck dissection (SND) in clinical N-0 (cN(0)) 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.Forty-four patients with cT(1-2)N(0) 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.The mean operation time in the endoscopically-assisted group (126.04 +/- A 12.67 min) was longer than that in the conventional group (75.67 +/- A 16.67 min). However, the mean length of the incision was 4.33 +/- A 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.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.en
dc.description.affiliationSun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Oral & Maxillofacial Surg, Guangzhou 510275, Guangdong, Peoples R China
dc.description.affiliationSun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Otorhinolaryngol, Guangzhou 510275, Guangdong, Peoples R China
dc.description.affiliationSao Paulo State Univ, Dent Sch Aracatuba, Dept Oral & Maxillofacial Surg, Sao Paulo, Brazil
dc.description.affiliationUnespSao Paulo State Univ, Dent Sch Aracatuba, Dept Oral & Maxillofacial Surg, Sao Paulo, Brazil
dc.description.sponsorshipSun Yat-Sen University Clinical Research 5010 Program
dc.description.sponsorshipIdSun Yat-Sen University Clinical Research 5010 Program2010008
dc.format.extent3876-3881
dc.identifierhttp://dx.doi.org/10.1245/s10434-014-3833-0
dc.identifier.citationAnnals Of Surgical Oncology. New York: Springer, v. 21, n. 12, p. 3876-3881, 2014.
dc.identifier.doi10.1245/s10434-014-3833-0
dc.identifier.issn1068-9265
dc.identifier.urihttp://hdl.handle.net/11449/117349
dc.identifier.wosWOS:000343085600031
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofAnnals Of Surgical Oncology
dc.relation.ispartofjcr3.857
dc.relation.ispartofsjr1,986
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.titleMinimally 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 Carcinomaen
dc.typeArtigo
dcterms.licensehttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dcterms.rightsHolderSpringer
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araçatubapt

Arquivos

Coleções

Artigos - Cirurgia e Clínica Integrada - FOA