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Abstract：
We aimed at evaluating the impact of ultrasound-guided (US) hookwire localization of nonpalpable cervical lymphadenopathy on operating time.
Retrospective case control study (January 2017 and May 2021) of 26 patients with lateral nonpalpable cervical lymphadenopathy undergoing surgery with (H+) and without (H-) per operative US-guided hook-wire localization. Operative time (general anesthesiology onset, hookwire placement, end of surgery) and surgery-related adverse events data were collected.
Mean operative time was significantly shorter in H+ group versus H- group (26 ± 16 min vs. 43 ± 22 min) (p = 0.02). Histopathological diagnosis accuracy was 100% versus 94% (H+ vs. H-, p = 0.1). No significant between group difference in surgery-related adverse events was reported (wound healing, p = 0.162; hematomas, p = 0.498; neoplasms removal failure, p = 1).
US-guided hookwire localization of lateral nonpalpable cervical lymphadenopathy allowed a significant reduction in operative time, comparable histopathological diagnosis accuracy and adverse events compared with H-.
Retrospective case control study (January 2017 and May 2021) of 26 patients with lateral nonpalpable cervical lymphadenopathy undergoing surgery with (H+) and without (H-) per operative US-guided hook-wire localization. Operative time (general anesthesiology onset, hookwire placement, end of surgery) and surgery-related adverse events data were collected.
Mean operative time was significantly shorter in H+ group versus H- group (26 ± 16 min vs. 43 ± 22 min) (p = 0.02). Histopathological diagnosis accuracy was 100% versus 94% (H+ vs. H-, p = 0.1). No significant between group difference in surgery-related adverse events was reported (wound healing, p = 0.162; hematomas, p = 0.498; neoplasms removal failure, p = 1).
US-guided hookwire localization of lateral nonpalpable cervical lymphadenopathy allowed a significant reduction in operative time, comparable histopathological diagnosis accuracy and adverse events compared with H-.
摘要：
目的：我们旨在评估超声引导（US）钩针定位无法触及的颈部淋巴结肿大对手术时间的影响。
方法：回顾性病例对照研究（2017年1月和2021年5月），对26例侧方不可触及的颈部淋巴结肿大患者进行手术（H+）和无（H-）手术，每次手术美国引导钩丝定位。手术时间（全身麻醉开始，钩针放置,手术结束）和手术相关不良事件数据。
结果：H+组平均手术时间明显短于H-组（26±16分钟vs.43±22分钟)(p=0.02)。组织病理学诊断准确率为100%对94%（H+与H-,p=0.1)。手术相关不良事件的组间差异无统计学意义（伤口愈合，p=0.162；血肿，p=0.498；肿瘤切除失败，p=1)。
结论：美国引导下的横向不可触及的颈部淋巴结肿大的钩针定位显著缩短了手术时间，与H-相比，具有可比性的组织病理学诊断准确性和不良事件。
方法：回顾性病例对照研究（2017年1月和2021年5月），对26例侧方不可触及的颈部淋巴结肿大患者进行手术（H+）和无（H-）手术，每次手术美国引导钩丝定位。手术时间（全身麻醉开始，钩针放置,手术结束）和手术相关不良事件数据。
结果：H+组平均手术时间明显短于H-组（26±16分钟vs.43±22分钟)(p=0.02)。组织病理学诊断准确率为100%对94%（H+与H-,p=0.1)。手术相关不良事件的组间差异无统计学意义（伤口愈合，p=0.162；血肿，p=0.498；肿瘤切除失败，p=1)。
结论：美国引导下的横向不可触及的颈部淋巴结肿大的钩针定位显著缩短了手术时间，与H-相比，具有可比性的组织病理学诊断准确性和不良事件。
