The Role of Carbon Nanoparticles in Lymph Node Dissection and Parathyroid Gland Preservation during Surgery for Thyroid Cancer: A Systematic Review and Meta-Analysis.

carbon nanoparticles lymph nodes parathyroid glands thyroid cancer

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
19 Aug 2022
Historique:
received: 20 06 2022
revised: 07 08 2022
accepted: 10 08 2022
entrez: 26 8 2022
pubmed: 27 8 2022
medline: 27 8 2022
Statut: epublish

Résumé

Thyroid cancer is the most common endocrine malignancy with an increasing incidence over the past few years. Surgery is considered the primary therapeutic option, which often involves lymph node dissection. The aim of this study was to assess the role of carbon nanoparticles, a novel agent, in thyroid cancer surgery. For that purpose, we conducted a systematic review of the literature on MEDLINE, EMBASE, Scopus, Cochrane and Google Scholar databases from 1 January 2002 to 31 January 2022. Ultimately, 20 articles with a total number of 2920 patients were included in the analysis. The outcome of the analysis showed that the use of carbon nanoparticles is associated with a higher number of harvested lymph nodes (WMD, 1.47, 95% CI, 1.13 to 1.82, p < 0.001) and a lower rate of accidental parathyroid gland removal (OR 0.34, CI 95% 0.24 to 0.50, p < 0.001). Based on these results, we suggest that carbon nanoparticles are applied in thyroid cancer surgery on a wider scale, so that these findings can be confirmed by future research on the subject.

Identifiants

pubmed: 36011009
pii: cancers14164016
doi: 10.3390/cancers14164016
pmc: PMC9407010
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Georgios Koimtzis (G)

Cardiff Transplant Unit, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff CF14 4XW, UK.

Leandros Stefanopoulos (L)

Lab of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Department of Electrical and Computer Engineering, Technological Institute, Robert R. McCormick School of Engineering and Applied Science, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208, USA.

Vyron Alexandrou (V)

Urology Department, General Hospital of Thessaloniki "G. Gennimata-Agios Dimitrios", Elenis Zografou 2, 54634 Thessaloniki, Greece.

Nikos Tteralli (N)

Department of General Surgery, North Hampshire NHS Foundation Trust, Basingstoke RG24 9NA, UK.

Verity Brooker (V)

Cardiff Transplant Unit, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff CF14 4XW, UK.

Awad Ali Alawad (AA)

Cardiff Transplant Unit, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff CF14 4XW, UK.

Eliot Carrington-Windo (E)

Emergency Department, Grafton Base Hospital, Northern NSW Local Health District, Grafton, NSW 2460, Australia.

Nikolaos Karakasis (N)

Urology Department, General Hospital of Thessaloniki "G. Gennimata-Agios Dimitrios", Elenis Zografou 2, 54634 Thessaloniki, Greece.

Georgios Geropoulos (G)

Department of Academic Surgery, The Royal Marsden Hospital Foundation Trust, 203 Fulham Rd., London SW3 6JJ, UK.

Theodosios Papavramidis (T)

1st Propedeutic Surgical Department, University Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki (AUTH), 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece.

Classifications MeSH