Phakdee Sannikorn* and Nut Niyomudomwatana
Abstract:
Background Most standard surgical treatment of cervical lymph node metastasis of Head and neck cancer is Conventional neck dissection. Recently, the skin incision has been modified to smaller incision than previous by using a special technique such as Robotic surgery system. In unavailable special system, we have to apply our instruments to do neck dissection via modified incision. The aim of our study was to compare surgical outcomes of Endoscopic assisted neck dissection and conventional neck dissection.
Method From March 2013 to August 2013, 70 patients with cervical lymph node metastasis of head and neck cancer were enrolled in this study. Of these patients, 10 patients desired the endoscopic assist retro-auricular neck dissection, and 60 patients were done conventional approach. Demographic data were recorded. Total excised lymph nodes and total operation time of both groups were compare.
Result The mean total excised lymph nodes was no statistical different between two groups. However, mean total operative time of endoscopic assisted technique was longer than conventional approach, but there was no statistical different between two groups. Patients with retro auricular neck dissection are better aesthetic outcome and less local skin flap swelling.
Conclusion In unavailable Robotic surgery system situation, we can apply existing instrument to do endoscopic assisted retro-auricular which gave us a good aesthetic outcome but do not compromise to the disease control outcome.
Background Most standard surgical treatment of cervical lymph node metastasis of Head and neck cancer is Conventional neck dissection. Recently, the skin incision has been modified to smaller incision than previous by using a special technique such as Robotic surgery system. In unavailable special system, we have to apply our instruments to do neck dissection via modified incision. The aim of our study was to compare surgical outcomes of Endoscopic assisted neck dissection and conventional neck dissection.
Method From March 2013 to August 2013, 70 patients with cervical lymph node metastasis of head and neck cancer were enrolled in this study. Of these patients, 10 patients desired the endoscopic assist retro-auricular neck dissection, and 60 patients were done conventional approach. Demographic data were recorded. Total excised lymph nodes and total operation time of both groups were compare.
Result The mean total excised lymph nodes was no statistical different between two groups. However, mean total operative time of endoscopic assisted technique was longer than conventional approach, but there was no statistical different between two groups. Patients with retro auricular neck dissection are better aesthetic outcome and less local skin flap swelling.
Conclusion In unavailable Robotic surgery system situation, we can apply existing instrument to do endoscopic assisted retro-auricular which gave us a good aesthetic outcome but do not compromise to the disease control outcome.
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