PDF(Pubmed)
Abstract：
OBJECTIVE: A gap in knowledge exists concerning the functional outcomes and complications when comparing various surgical approaches for retropharyngeal lymph node (RPLN) metastases.
OBJECTIVE: To explore perioperative outcomes, functional outcomes, and complications associated in the treatment of RPLN metastases.
METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) protocol was used to conduct a scoping review of the PubMed and Scopus databases.
METHODS: We systematically searched 2 databases from inception to January 2023 for articles examining the treatment approaches and postoperative outcomes in the retropharyngeal space. We included English records about surgical approaches, complications, functional outcomes for patients >18 years old with retropharyngeal lymphadenopathy.
RESULTS: One-hundred ninety-nine articles were identified, of which 17 were included in the analysis. Three studies assessed RPLN dissection in the postradiation setting. We identified limited knowledge about functional outcomes and complications following surgery for retropharyngeal lymphadenopathy. Overall, acute postoperative dysphagia was documented in 35/170 patients (20.5%). However, the assessment of dysphagia was limited, and not described in the majority of studies. The overall rate of postoperative neuropathy and hematoma were 4.1% and 4.7%, respectively. No postoperative hematomas were documented in the transcervical approach.
CONCLUSIONS: Our findings underscore the need for further research on postoperative outcomes following RPLN dissection. We recommend further studies focusing on objective swallow assessments and long-term outcomes of either surgical approaches.
OBJECTIVE: To explore perioperative outcomes, functional outcomes, and complications associated in the treatment of RPLN metastases.
METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) protocol was used to conduct a scoping review of the PubMed and Scopus databases.
METHODS: We systematically searched 2 databases from inception to January 2023 for articles examining the treatment approaches and postoperative outcomes in the retropharyngeal space. We included English records about surgical approaches, complications, functional outcomes for patients >18 years old with retropharyngeal lymphadenopathy.
RESULTS: One-hundred ninety-nine articles were identified, of which 17 were included in the analysis. Three studies assessed RPLN dissection in the postradiation setting. We identified limited knowledge about functional outcomes and complications following surgery for retropharyngeal lymphadenopathy. Overall, acute postoperative dysphagia was documented in 35/170 patients (20.5%). However, the assessment of dysphagia was limited, and not described in the majority of studies. The overall rate of postoperative neuropathy and hematoma were 4.1% and 4.7%, respectively. No postoperative hematomas were documented in the transcervical approach.
CONCLUSIONS: Our findings underscore the need for further research on postoperative outcomes following RPLN dissection. We recommend further studies focusing on objective swallow assessments and long-term outcomes of either surgical approaches.
摘要：
目的：在比较咽后淋巴结（RPLN）转移的各种手术方法时，关于功能结局和并发症的知识存在差距。
目的：探讨围手术期结局，功能结果，和治疗RPLN转移相关的并发症。
方法：使用系统评价和Meta分析扩展范围评价的首选报告项目（PRISMA-ScR）方案对PubMed和Scopus数据库进行范围审查。
方法：我们从开始到2023年1月系统地检索了2个数据库中的文章，以检查咽后腔的治疗方法和术后结果。我们包括了关于手术方法的英文记录，并发症,>18岁咽后淋巴结肿大患者的功能结局。
结果：确定了一百九十九篇文章，其中17人被纳入分析。三项研究评估了辐射后环境中的RPLN解剖。我们发现咽后淋巴结病手术后的功能结果和并发症的知识有限。总的来说,35/170例患者(20.5%)有急性术后吞咽困难.然而,吞咽困难的评估是有限的，在大多数研究中没有描述。术后神经病变和血肿的总发生率分别为4.1%和4.7%,分别。经颈入路无术后血肿记录。
结论：我们的发现强调需要进一步研究RPLN剥离术后的结果。我们建议进一步研究，重点是客观的吞咽评估和两种手术方法的长期结果。
目的：探讨围手术期结局，功能结果，和治疗RPLN转移相关的并发症。
方法：使用系统评价和Meta分析扩展范围评价的首选报告项目（PRISMA-ScR）方案对PubMed和Scopus数据库进行范围审查。
方法：我们从开始到2023年1月系统地检索了2个数据库中的文章，以检查咽后腔的治疗方法和术后结果。我们包括了关于手术方法的英文记录，并发症,>18岁咽后淋巴结肿大患者的功能结局。
结果：确定了一百九十九篇文章，其中17人被纳入分析。三项研究评估了辐射后环境中的RPLN解剖。我们发现咽后淋巴结病手术后的功能结果和并发症的知识有限。总的来说,35/170例患者(20.5%)有急性术后吞咽困难.然而,吞咽困难的评估是有限的，在大多数研究中没有描述。术后神经病变和血肿的总发生率分别为4.1%和4.7%,分别。经颈入路无术后血肿记录。
结论：我们的发现强调需要进一步研究RPLN剥离术后的结果。我们建议进一步研究，重点是客观的吞咽评估和两种手术方法的长期结果。
