Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis
Abstract Background Neck dissection is an integral component of the treatment of head and neck cancers. The present meta-analysis aimed to compare the use of endoscope-assisted neck dissection (END) with conventional neck dissection (CND) in the existing English literature. Methods A search of PubMe...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-05-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | https://doi.org/10.1186/s40463-022-00567-9 |
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| author | Yi-Chan Lee Li-Jen Hsin Shih-Wei Yang Ming-Shao Tsai Yao-Te Tsai Che-Fang Ho |
| author_facet | Yi-Chan Lee Li-Jen Hsin Shih-Wei Yang Ming-Shao Tsai Yao-Te Tsai Che-Fang Ho |
| author_sort | Yi-Chan Lee |
| collection | DOAJ |
| description | Abstract Background Neck dissection is an integral component of the treatment of head and neck cancers. The present meta-analysis aimed to compare the use of endoscope-assisted neck dissection (END) with conventional neck dissection (CND) in the existing English literature. Methods A search of PubMed (MEDLINE), Embase, and the Cochrane Library for articles reporting the results of the two techniques of neck dissection was completed independently by two individuals. The authors analyzed the data from each study using a random-effects model. Results The pooled analysis demonstrated comparable lymph node yield, intraoperative blood loss, incidence of locoregional recurrence, and incidence of complications between the two groups. A significantly longer operative time but a shorter length of hospital stay was observed in the END group compared with the other group. Conclusions Compared with conventional techniques, END offers similar oncologic outcomes and complication rates; however, it requires a longer operative time. Future studies with long-term follow-up and assessment of patient satisfaction are needed to confirm the clinical use of END. Graphical abstract |
| format | Article |
| id | doaj-art-aa490d02861c4a89b03e7850a2fcdaaf |
| institution | OA Journals |
| issn | 1916-0216 |
| language | English |
| publishDate | 2022-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-aa490d02861c4a89b03e7850a2fcdaaf2025-08-20T01:47:50ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162022-05-0151111110.1186/s40463-022-00567-9Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysisYi-Chan Lee0Li-Jen Hsin1Shih-Wei Yang2Ming-Shao Tsai3Yao-Te Tsai4Che-Fang Ho5Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial HospitalDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial HospitalDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial HospitalDepartment of Otolaryngology—Head and Neck Surgery, Chang Gung Memorial HospitalDepartment of Otolaryngology—Head and Neck Surgery, Chang Gung Memorial HospitalDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial HospitalAbstract Background Neck dissection is an integral component of the treatment of head and neck cancers. The present meta-analysis aimed to compare the use of endoscope-assisted neck dissection (END) with conventional neck dissection (CND) in the existing English literature. Methods A search of PubMed (MEDLINE), Embase, and the Cochrane Library for articles reporting the results of the two techniques of neck dissection was completed independently by two individuals. The authors analyzed the data from each study using a random-effects model. Results The pooled analysis demonstrated comparable lymph node yield, intraoperative blood loss, incidence of locoregional recurrence, and incidence of complications between the two groups. A significantly longer operative time but a shorter length of hospital stay was observed in the END group compared with the other group. Conclusions Compared with conventional techniques, END offers similar oncologic outcomes and complication rates; however, it requires a longer operative time. Future studies with long-term follow-up and assessment of patient satisfaction are needed to confirm the clinical use of END. Graphical abstracthttps://doi.org/10.1186/s40463-022-00567-9EndoscopeNeck dissectionNeck lymphadenectomy |
| spellingShingle | Yi-Chan Lee Li-Jen Hsin Shih-Wei Yang Ming-Shao Tsai Yao-Te Tsai Che-Fang Ho Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis Journal of Otolaryngology - Head and Neck Surgery Endoscope Neck dissection Neck lymphadenectomy |
| title | Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
| title_full | Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
| title_fullStr | Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
| title_full_unstemmed | Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
| title_short | Endoscope-assisted versus conventional neck dissection in patients with oral cancer: a systematic review and meta-analysis |
| title_sort | endoscope assisted versus conventional neck dissection in patients with oral cancer a systematic review and meta analysis |
| topic | Endoscope Neck dissection Neck lymphadenectomy |
| url | https://doi.org/10.1186/s40463-022-00567-9 |
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