The feasibility strategy for fast track surgery of no drainage tube applied during the operation of thyroid papillary carcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZENG Cuifang ¹ , MA Yu ¹ ,  LI Ka ² , WEI Tao ¹ , LIU Feng ¹ , JIA Ying ¹

1. Department of Thyroid Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. Nursing Department, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

LI Ka, Email: likalika127127@163.com

Keywords：

thyroid papillary carcinoma; thyroidectomy; drainage; fast track surgery

DOI：

10.7507/1007-9424.201903028

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the feasibility strategy for patients’ fast track after the operation of thyroid papillary carcinoma with no drainage tube application.Methods Patients undergone the operation of thyroid papillary carcinoma from June 2017 to March 2018 were enrolled in this retrospective study. All patients were from the same medical teams composed with the same attending doctors. They were divided into two groups according to the drainage tube applied or not. Finally the incidence of postoperative hematoma, incisional infection, and subcutaneous effusion were compared between the two groups, while the length of stay, pain score after operation, and satisfaction of patients were also analyzed.Results The incidences of postoperative hematoma, incisional infection, and subcutaneous effusion were totally similar between the two groups. While the length of stay and pain score were significantly shorter or lower, satisfaction of patients were higher in group of no drainage tube applied (P<0.05).Conclusions The operation of total thyroidectomy plus bilateral central lymph node dissection for papillary thyroid cancer without drainage tube will not increase the probability of complications such as hematoma, incisional infection and subcutaneous effusion. On the contrary, it can shorten hospitalization time, reduce wound pain and improve patient satisfaction in the concept of rapid rehabilitation.

Citation： ZENG Cuifang, MA Yu, LI Ka, WEI Tao, LIU Feng, JIA Ying. The feasibility strategy for fast track surgery of no drainage tube applied during the operation of thyroid papillary carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(7): 814-817. doi: 10.7507/1007-9424.201903028 Copy

1.	王振英, 陳國鋒, 胡永成, 等. 甲狀腺次全切除術后不置引流的探討. 中國眼耳鼻喉科雜志, 2016, 5(16): 201-205.
2.	Jeong JJ, Kim KH, Koh YW, et al. Surgical completeness of total thyroidectomy using harmonic scalpel: comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients. J Korean Surg Soc, 2012, 83(5): 267-273.
3.	李浪. 154例甲狀腺手術引流結果分析. 右江民族醫學院學報, 1996, 18(1): 45-46.
4.	尤捷, 郭貴龍, 陳雪敏, 等. 甲狀腺和甲狀旁腺手術術后常規使用引流的循證醫學分析. 醫學研究雜志, 2007, 12(1): 61-63.
5.	Woods RS, Woods JF, Duignan ES, et al. Systematic review and meta-analysis of wound drains after thyroid surgery. Br J Surg, 2014, 101(5): 446-456.
6.	Woo SH, J Kim JP, Park JJ, et al. Comparison of natural dainage group and negative drainage groups after total thyroidectomy: prospective randomized controlled study. Yonsei Med J, 2013, 54(1): 204-208.
7.	Kalemera Ssenyondo E, Fualal J, Jombwe J, et al. To drain or not to drain after thyroid surgery: a randomized controlled trial at a tertiary Hospital in East Africa. Afr Health Sci, 2013, 13(3): 748-755.
8.	段家鏡, 蔣偉國, 趙淑艷, 等. 甲狀腺術后不行引流105 例報道. 中國普外基礎與臨床雜志, 2015, 22(3): 311.
9.	孫輝, 劉曉莉. 甲狀腺術后原因及處理. 中華普外科手術學雜志(電子版), 2013, 7(4): 254-257.
10.	Kristoffersson A, Sandzén B, J?rhult J. Drainage in uncomplicated thyroid and parathyroid surgery. Bri J Surg, 1986, 73(2): 121-122.
11.	Tabaqchali MA, Hanson JM, Proud G. Drains for thyroidectomy parathyroidectomy: fact or fiction. Ann R Coll Surg Engl, 1999, 81(5): 302-305.
12.	Hopkins B, Steward D. Outpatient thyroid surgery and the advances making it possible. Curr Opin Otolaryngol Head Neck Surg, 2009, 17(2): 95-99.
13.	Tian J, Li L, Liu P, et al. Comparison of drain versus no-drain thyroidectomy: a meta-analysis. Eur Arch Otorhinolaryngol, 2017, 274(1): 567-577.
14.	王尚前, 邵國安, 胡學軍, 等. 甲狀腺、甲狀旁腺術后常規引流的系統評價. 中國循證醫學雜志, 2012, 12(7): 830-839.
15.	陳勁強, 丁金火, 楊一輪. 甲狀腺術后不置引流92例分析. 實用臨床醫學, 2010, 11(1): 45, 48.
16.	Karayacin K, Besin H, Ercan F, et al. Thyroidetomy with and without drains. East Afr Med J, 1997, 74(7): 431-432.
17.	陸穎, 孫景云, 韓周橋, 等. 影響甲狀腺術后切口美容效果的多因素分析. 黑龍江醫學, 2016, 40(8): 733-736.
18.	Sapalidis K, Strati T, Anastasiadis I, et al. Total thyroidectomy without the use of drainage-case series of 66 patients. Curr Health Sci J, 2014, 40(1): 57-59.
19.	胡世雄, 黃侃, 趙剛, 等. 甲狀腺術后常規引流的前瞻性隨機對照研究. 中華普通外科雜志, 2012, 27(7): 589-590.
20.	何杰, 張超杰, 謝靖. 泰綾止血紗在甲狀腺手術中的應用及臨床研究. 中國社區醫師, 2016, 32(8): 733-736.
21.	薛毅, 王慶才, 徐俊, 等. 纖維蛋白膠對試驗箱肝損傷的止血效果觀察. 中華實驗外科雜志, 1996, 13(3): 151-152.
22.	王進超, 蔡勝華. 生物蛋白膠在頸部內鏡甲狀腺切除中的應用及效果分析. 醫學綜述, 2016, 22(7): 1410-1411, 1414.
23.	周亞雄, 劉海鵬, 祝占奎, 等. 甲狀腺術后引流的研究進展. 醫學綜述, 2017, 8(23): 3256-3260.
24.	張曉波, 阮景德, 張成裕, 等. 甲狀腺手術傷口免除引流的技術探討. 中國現代醫學雜志, 2003, 13(20): 141-142.

1. 王振英, 陳國鋒, 胡永成, 等. 甲狀腺次全切除術后不置引流的探討. 中國眼耳鼻喉科雜志, 2016, 5(16): 201-205.
2. Jeong JJ, Kim KH, Koh YW, et al. Surgical completeness of total thyroidectomy using harmonic scalpel: comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients. J Korean Surg Soc, 2012, 83(5): 267-273.
3. 李浪. 154例甲狀腺手術引流結果分析. 右江民族醫學院學報, 1996, 18(1): 45-46.
4. 尤捷, 郭貴龍, 陳雪敏, 等. 甲狀腺和甲狀旁腺手術術后常規使用引流的循證醫學分析. 醫學研究雜志, 2007, 12(1): 61-63.
5. Woods RS, Woods JF, Duignan ES, et al. Systematic review and meta-analysis of wound drains after thyroid surgery. Br J Surg, 2014, 101(5): 446-456.
6. Woo SH, J Kim JP, Park JJ, et al. Comparison of natural dainage group and negative drainage groups after total thyroidectomy: prospective randomized controlled study. Yonsei Med J, 2013, 54(1): 204-208.
7. Kalemera Ssenyondo E, Fualal J, Jombwe J, et al. To drain or not to drain after thyroid surgery: a randomized controlled trial at a tertiary Hospital in East Africa. Afr Health Sci, 2013, 13(3): 748-755.
8. 段家鏡, 蔣偉國, 趙淑艷, 等. 甲狀腺術后不行引流105 例報道. 中國普外基礎與臨床雜志, 2015, 22(3): 311.
9. 孫輝, 劉曉莉. 甲狀腺術后原因及處理. 中華普外科手術學雜志(電子版), 2013, 7(4): 254-257.
10. Kristoffersson A, Sandzén B, J?rhult J. Drainage in uncomplicated thyroid and parathyroid surgery. Bri J Surg, 1986, 73(2): 121-122.
11. Tabaqchali MA, Hanson JM, Proud G. Drains for thyroidectomy parathyroidectomy: fact or fiction. Ann R Coll Surg Engl, 1999, 81(5): 302-305.
12. Hopkins B, Steward D. Outpatient thyroid surgery and the advances making it possible. Curr Opin Otolaryngol Head Neck Surg, 2009, 17(2): 95-99.
13. Tian J, Li L, Liu P, et al. Comparison of drain versus no-drain thyroidectomy: a meta-analysis. Eur Arch Otorhinolaryngol, 2017, 274(1): 567-577.
14. 王尚前, 邵國安, 胡學軍, 等. 甲狀腺、甲狀旁腺術后常規引流的系統評價. 中國循證醫學雜志, 2012, 12(7): 830-839.
15. 陳勁強, 丁金火, 楊一輪. 甲狀腺術后不置引流92例分析. 實用臨床醫學, 2010, 11(1): 45, 48.
16. Karayacin K, Besin H, Ercan F, et al. Thyroidetomy with and without drains. East Afr Med J, 1997, 74(7): 431-432.
17. 陸穎, 孫景云, 韓周橋, 等. 影響甲狀腺術后切口美容效果的多因素分析. 黑龍江醫學, 2016, 40(8): 733-736.
18. Sapalidis K, Strati T, Anastasiadis I, et al. Total thyroidectomy without the use of drainage-case series of 66 patients. Curr Health Sci J, 2014, 40(1): 57-59.
19. 胡世雄, 黃侃, 趙剛, 等. 甲狀腺術后常規引流的前瞻性隨機對照研究. 中華普通外科雜志, 2012, 27(7): 589-590.
20. 何杰, 張超杰, 謝靖. 泰綾止血紗在甲狀腺手術中的應用及臨床研究. 中國社區醫師, 2016, 32(8): 733-736.
21. 薛毅, 王慶才, 徐俊, 等. 纖維蛋白膠對試驗箱肝損傷的止血效果觀察. 中華實驗外科雜志, 1996, 13(3): 151-152.
22. 王進超, 蔡勝華. 生物蛋白膠在頸部內鏡甲狀腺切除中的應用及效果分析. 醫學綜述, 2016, 22(7): 1410-1411, 1414.
23. 周亞雄, 劉海鵬, 祝占奎, 等. 甲狀腺術后引流的研究進展. 醫學綜述, 2017, 8(23): 3256-3260.
24. 張曉波, 阮景德, 張成裕, 等. 甲狀腺手術傷口免除引流的技術探討. 中國現代醫學雜志, 2003, 13(20): 141-142.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The feasibility strategy for fast track surgery of no drainage tube applied during the operation of thyroid papillary carcinoma

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content