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, 陈国锋, 胡永成, 等. 甲状腺次全切除术后不置引流的探讨. 中国眼耳鼻喉科杂志, 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例甲状腺手术引流结果分析. 右江民族医学院学报, 1996, 18(1): 45-46.
4.	尤捷, 郭贵龙, 陈雪敏, 等. 甲状腺和甲状旁腺手术术后常规使用引流的循证医学分析. 医学研究杂志, 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.	段家镜, 蒋伟国, 赵淑艳, 等. 甲状腺术后不行引流105 例报道. 中国普外基础与临床杂志, 2015, 22(3): 311.
9.	孙辉, 刘晓莉. 甲状腺术后原因及处理. 中华普外科手术学杂志(电子版), 2013, 7(4): 254-257.
10.	Kristoffersson A, Sandzén B, Järhult 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, 邵国安, 胡学军, 等. 甲状腺、甲状旁腺术后常规引流的系统评价. 中国循证医学杂志, 2012, 12(7): 830-839.
15.	陈劲强, 丁金火, 杨一轮. 甲状腺术后不置引流92例分析. 实用临床医学, 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.	陆颖, 孙景云, 韩周桥, 等. 影响甲状腺术后切口美容效果的多因素分析. 黑龙江医学, 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, 黄侃, 赵刚, 等. 甲状腺术后常规引流的前瞻性随机对照研究. 中华普通外科杂志, 2012, 27(7): 589-590.
20.	何杰, 张超杰, 谢靖. 泰绫止血纱在甲状腺手术中的应用及临床研究. 中国社区医师, 2016, 32(8): 733-736.
21.	薛毅, 王庆才, 徐俊, 等. 纤维蛋白胶对试验箱肝损伤的止血效果观察. 中华实验外科杂志, 1996, 13(3): 151-152.
22.	王进超, 蔡胜华. 生物蛋白胶在颈部内镜甲状腺切除中的应用及效果分析. 医学综述, 2016, 22(7): 1410-1411, 1414.
23.	周亚雄, 刘海鹏, 祝占奎, 等. 甲状腺术后引流的研究进展. 医学综述, 2017, 8(23): 3256-3260.
24.	张晓波, 阮景德, 张成裕, 等. 甲状腺手术伤口免除引流的技术探讨. 中国现代医学杂志, 2003, 13(20): 141-142.

1. 王振英, 陈国锋, 胡永成, 等. 甲状腺次全切除术后不置引流的探讨. 中国眼耳鼻喉科杂志, 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例甲状腺手术引流结果分析. 右江民族医学院学报, 1996, 18(1): 45-46.
4. 尤捷, 郭贵龙, 陈雪敏, 等. 甲状腺和甲状旁腺手术术后常规使用引流的循证医学分析. 医学研究杂志, 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. 段家镜, 蒋伟国, 赵淑艳, 等. 甲状腺术后不行引流105 例报道. 中国普外基础与临床杂志, 2015, 22(3): 311.
9. 孙辉, 刘晓莉. 甲状腺术后原因及处理. 中华普外科手术学杂志(电子版), 2013, 7(4): 254-257.
10. Kristoffersson A, Sandzén B, Järhult 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, 邵国安, 胡学军, 等. 甲状腺、甲状旁腺术后常规引流的系统评价. 中国循证医学杂志, 2012, 12(7): 830-839.
15. 陈劲强, 丁金火, 杨一轮. 甲状腺术后不置引流92例分析. 实用临床医学, 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. 陆颖, 孙景云, 韩周桥, 等. 影响甲状腺术后切口美容效果的多因素分析. 黑龙江医学, 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, 黄侃, 赵刚, 等. 甲状腺术后常规引流的前瞻性随机对照研究. 中华普通外科杂志, 2012, 27(7): 589-590.
20. 何杰, 张超杰, 谢靖. 泰绫止血纱在甲状腺手术中的应用及临床研究. 中国社区医师, 2016, 32(8): 733-736.
21. 薛毅, 王庆才, 徐俊, 等. 纤维蛋白胶对试验箱肝损伤的止血效果观察. 中华实验外科杂志, 1996, 13(3): 151-152.
22. 王进超, 蔡胜华. 生物蛋白胶在颈部内镜甲状腺切除中的应用及效果分析. 医学综述, 2016, 22(7): 1410-1411, 1414.
23. 周亚雄, 刘海鹏, 祝占奎, 等. 甲状腺术后引流的研究进展. 医学综述, 2017, 8(23): 3256-3260.
24. 张晓波, 阮景德, 张成裕, 等. 甲状腺手术伤口免除引流的技术探讨. 中国现代医学杂志, 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