Elective Neck Dissection In Oral Cancer, T1-T2/N0 Stage. Systematic Review.

Objectives: The cervical lymph node dissection corresponds to the surgical procedure that consists in removing the lymph nodes and surrounding tissues of the neck in order to treat cancer. In recent decades, various alternatives have been proposed in the management of ganglionic oral cancer, generating a debate between elective lymph node dissection in those patients with no lymph node metastasis or in taking a "wait and observe" attitude and perform a therapeutic dissection. when ganglionic disease is diagnosed.
Methods: Electronic search in the PubMed database of the term "Elective neck dissection and Therapeutic neck dissection", combined with "Node-negative" and "Oral cancer". The inclusion criteria were systematic reviews and meta-analyzes published in the last 10 years, in English, which analyze the elective and therapeutic neck dissection in oral cancer without clinical adenopathy.
Results: Initially, a total of 8 articles were found. After a summary reading, 3 is excluded because it did not meet the objective of this review. Finally, 5 were selected, which went on to read the entire article.
Conclusions: Current evidence, consisting of systematic studies and meta-analysis, indicates that elective cervical lymph node dissection constitutes the treatment with the lowest rate of metastasis and longer survival in patients compared to the therapeutic lymph node dissection.
Current evidence, consisting of systematic studies and meta-analysis, indicates that elective cervical lymph node dissection constitutes the treatment with the lowest rate of metastasis and longer survival in patients compared to the therapeutic lymph node dissection