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Clinical Experience With n-Butyl-2-Cyanoacrylate in Performing Lateral Neck Dissection for Metastatic Thyroid Cancer

 Hyeung Kyoo Kim  ;  Seok-Mo Kim  ;  Hojin Chang  ;  Bup Woo Kim  ;  Yong Sang Lee  ;  Chi Young Lim  ;  Hang-Seok Chang  ;  Cheong Soo Park 
 SURGICAL INNOVATION, Vol.23(5) : 481-485, 2016 
Journal Title
Issue Date
Adult ; Anastomotic Leak/prevention & control ; Databases, Factual ; Enbucrilate/pharmacology* ; Female ; Follow-Up Studies ; Humans ; Lymph Node Excision/methods ; Lymph Nodes/pathology* ; Lymph Nodes/surgery ; Lymphatic Metastasis ; Male ; Middle Aged ; Neck Dissection/methods* ; Neoplasm Invasiveness/pathology ; Neoplasm Staging ; Patient Safety/statistics & numerical data ; Retrospective Studies ; Risk Assessment ; Survival Analysis ; Thyroid Neoplasms/diagnostic imaging ; Thyroid Neoplasms/mortality ; Thyroid Neoplasms/pathology* ; Thyroid Neoplasms/surgery* ; Tissue Adhesives/pharmacology ; Treatment Outcome
Histoacryl ; chyle ; lateral neck dissection ; n-butyl-2-cyanoacrylate ; thyroid
Background Chyle leakage following lateral neck dissection (LND) is rare, but can induce metabolic disturbances, delay wound healing, and prolong hospitalization. n-Butyl-2-cyanoacrylate (NBCA) has been used to achieve hemostasis and seal tissues in several surgical settings. We here assessed whether application of NBCA to the thoracic duct area is effective in sealing chyle leakage. Methods The medical records of 163 patients who underwent total thyroidectomy with unilateral LND between March 2011 and September 2012 were reviewed. NBCA was applied to 84 patients and not applied to 79. Drainage volume, duration of hospital stay, and incidence of complications were compared between the 2 groups. Results The 2 groups were not different with regard to age, body weight, gender, primary tumor histology, and number of lateral neck nodes harvested. Mean hospital stay was significantly shorter (4.3 ± 1.8 vs 5.7 ± 3.0 days, P < .001), median total drainage volume was significantly smaller (270 mL; range: 97-931 mL vs 328 mL; range: 113-2636 mL; P < .001), and rate of chyle leakage was significantly lower (0% vs 6.3%, P = .025) in the NBCA than in the non-NBCA group. Conclusion NBCA application to the dissected area of the thoracic duct posterior to its angle of junction with the internal jugular and subclavian veins could be safe and effective in reducing surgical complications related to chyle leakage after LND.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Bup Woo(김법우) ORCID logo https://orcid.org/0000-0002-1342-9055
Kim, Seok Mo(김석모) ORCID logo https://orcid.org/0000-0001-8070-0573
Kim, Hyung Kyu(김형규)
Park, Cheong Soo(박정수)
Lee, Yong Sang(이용상) ORCID logo https://orcid.org/0000-0002-8234-8718
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
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