Effect of prophylactic central neck dissection following total thyroidectomy on surgical site wound infection,hematoma, and haemorrhage in subjects with clinically node-negative papillary thyroid carcinoma: A meta-analysis |
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| Authors: | Lingshuang Jin Limin Liu Jing Wang Li Zhang |
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| Institution: | 1. Department of Head and Neck Surgery, Shanxi province Cancer Hospital, China;2. Center of Reproduction, Huizhou Central Hospital of Guangdong Province, Guangdong, China;3. Department of Pathology, Shanxi province Cancer Hospital, Shanxi, China |
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| Abstract: | We performed a meta-analysis to evaluate the effect of prophylactic central neck dissection following total thyroidectomy on surgical site wound infection, hematoma, and haemorrhage in subjects with clinically node-negative papillary thyroid carcinoma. A systematic literature search up to April 2022 was performed and 3517 subjects with clinically node-negative papillary thyroid carcinoma at the baseline of the studies; 1503 of them were treated with prophylactic central neck dissection following total thyroidectomy, and 2014 were using total thyroidectomy. Odds ratio (OR) with 95% confidence intervals (CIs) were calculated to assess the effect of prophylactic central neck dissection following total thyroidectomy on surgical site wound infection, hematoma, and haemorrhage in subjects with clinically node-negative papillary thyroid carcinoma using the dichotomous method with a random or fixed-effect model. The prophylactic central neck dissection following total thyroidectomy subjects had a significantly lower surgical site wound infection (OR, 0.40; 95% CI, 0.20–0.78, P = .007) in subjects with clinically node-negative papillary thyroid carcinoma compared with total thyroidectomy. However, prophylactic central neck dissection following total thyroidectomy did not show any significant difference in hematoma (OR, 0.08; 95% CI, 0.43–2.71, P = .87), and haemorrhage (OR, 0.72; 95% CI, 0.26–1.97, P = .52) compared with total thyroidectomy in subjects with clinically node-negative papillary thyroid carcinoma. The prophylactic central neck dissection following total thyroidectomy subjects had a significantly higher surgical site wound infection, and no significant difference in hematoma, and haemorrhage compared with total thyroidectomy in subjects with clinically node-negative papillary thyroid carcinoma. The analysis of outcomes should be with caution because of the low number of studies in certain comparisons. |
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| Keywords: | clinical node-negative papillary thyroid carcinoma haemorrhage prophylactic central neck dissection following surgical site wound infection total thyroidectomy |
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