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KMID : 0371420221020020083
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Annals of Surgical Treatment and Research
2022 Volume.102 No. 2 p.83 ~ p.89
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The effect of intraoperative neuromonitoring on the number of lymph nodes excised and recurrence when applied during neck dissection in cases of papillary thyroid cancer
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Comcali Bulent
Saylam Baris
Ozdemir Buket Altun
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Abstract
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Purpose: The aim of this study was to evaluate the effect of neuromonitoring on the number of lymph nodes (LNs) removed when applied during neck dissection.
Methods: A total of 166 patients receiving neck dissection due to papillary thyroid cancer were separated into 2 groups (monitoring group, n = 76; non-monitoring group, n = 90).
Results: The number of LNs dissected was observed to be statistically significantly higher in the monitoring group (P = 0.001), and the difference between the groups in the number of positive LNs was significant (P = 0.031). There was seen to be a negative relationship between the number of positive LNs dissected and recurrence (r = ?0.404, P = 0.005).
Conclusion: Intraoperative neuromonitoring during neck dissection makes a positive contribution to the prevention of the development of recurrence by increasing the number of LNs excised and the number of metastatic LNs.
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KEYWORD
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Intraoperative neuromonitoring, Lymph node excision, Papillary thyroid cancer, Recurrence
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