Objective: To evaluate the feasibility and safety of the non-placement of a drainage tube in transvestibular endoscopic thyroid papillary carcinoma surgery by applying the concept of rapid rehabilitation surgery. Meth...Objective: To evaluate the feasibility and safety of the non-placement of a drainage tube in transvestibular endoscopic thyroid papillary carcinoma surgery by applying the concept of rapid rehabilitation surgery. Methods: 106 patients with papillary thyroid carcinoma in the Department of Head and Neck of Affiliated Cancer Hospital of Sun Yat-sen University were retrospectively analyzed, and the observation group (n = 43) 1 who underwent endoscopic surgery without negative pressure drainage tube in the hospital from January 2019 to March 2023 were selected. The control group (n = 63) underwent the same operation at the same time and placed the negative pressure drainage tube. Postoperative hematoma, incision infection, subcutaneous effusion, and use of painkillers were compared between the two groups. Results: There were no statistically significant differences in operation time, intraoperative blood loss, postoperative hospital stay, and number of lymph node dissection between the two groups (P > 0.05). No postoperative hematoma or incision infection occurred between the two groups. There were no statistically significant differences in the incidence of subcutaneous effusion and the use rate of painkillers between the two groups (P > 0.05). Conclusion: No drainage tube in patients undergoing endoscopic thyroid surgery through oral vestibular approach will not increase the probability of complications such as postoperative hematoma, incision infection, subcutaneous effusion, and the use of painkillers, but can improve the comfort of patients in the concept of rapid rehabilitation.展开更多
目的探讨腔镜下不同手术入路甲状腺切除术对cN0期甲状腺乳头状癌(PTC)的手术效果。方法回顾性分析2019年8月—2022年11月于本院就诊并接受腔镜手术治疗的118例cN0期PTC患者的临床资料,根据腔镜下不同手术入路,分为胸乳组与经口组,应用...目的探讨腔镜下不同手术入路甲状腺切除术对cN0期甲状腺乳头状癌(PTC)的手术效果。方法回顾性分析2019年8月—2022年11月于本院就诊并接受腔镜手术治疗的118例cN0期PTC患者的临床资料,根据腔镜下不同手术入路,分为胸乳组与经口组,应用倾向性评分匹配法各纳入59例患者。比较两组围术期相关指标。结果经口组术后引流量、住院时长均少于胸乳组(P<0.05),而手术时间、中央区淋巴结清扫数目多于胸乳组(P<0.05);经口组术后12、24 h VAS评分均低于胸乳组(P<0.05);术后3 d,经口组吞咽功能优于胸乳组(P<0.05);术后3个月,经口组瘢痕评估量表评分低于胸乳组(P<0.05);随访1年,组间术后复发、无进展生存期比较无明显差异(P>0.05)。结论经胸乳入路腔镜术与经口腔前庭腔镜术治疗cN0期PTC整体疗效相当,但经口腔前庭入路腔镜术后恢复更快,更值得应用。展开更多
文摘Objective: To evaluate the feasibility and safety of the non-placement of a drainage tube in transvestibular endoscopic thyroid papillary carcinoma surgery by applying the concept of rapid rehabilitation surgery. Methods: 106 patients with papillary thyroid carcinoma in the Department of Head and Neck of Affiliated Cancer Hospital of Sun Yat-sen University were retrospectively analyzed, and the observation group (n = 43) 1 who underwent endoscopic surgery without negative pressure drainage tube in the hospital from January 2019 to March 2023 were selected. The control group (n = 63) underwent the same operation at the same time and placed the negative pressure drainage tube. Postoperative hematoma, incision infection, subcutaneous effusion, and use of painkillers were compared between the two groups. Results: There were no statistically significant differences in operation time, intraoperative blood loss, postoperative hospital stay, and number of lymph node dissection between the two groups (P > 0.05). No postoperative hematoma or incision infection occurred between the two groups. There were no statistically significant differences in the incidence of subcutaneous effusion and the use rate of painkillers between the two groups (P > 0.05). Conclusion: No drainage tube in patients undergoing endoscopic thyroid surgery through oral vestibular approach will not increase the probability of complications such as postoperative hematoma, incision infection, subcutaneous effusion, and the use of painkillers, but can improve the comfort of patients in the concept of rapid rehabilitation.
文摘目的探讨腔镜下不同手术入路甲状腺切除术对cN0期甲状腺乳头状癌(PTC)的手术效果。方法回顾性分析2019年8月—2022年11月于本院就诊并接受腔镜手术治疗的118例cN0期PTC患者的临床资料,根据腔镜下不同手术入路,分为胸乳组与经口组,应用倾向性评分匹配法各纳入59例患者。比较两组围术期相关指标。结果经口组术后引流量、住院时长均少于胸乳组(P<0.05),而手术时间、中央区淋巴结清扫数目多于胸乳组(P<0.05);经口组术后12、24 h VAS评分均低于胸乳组(P<0.05);术后3 d,经口组吞咽功能优于胸乳组(P<0.05);术后3个月,经口组瘢痕评估量表评分低于胸乳组(P<0.05);随访1年,组间术后复发、无进展生存期比较无明显差异(P>0.05)。结论经胸乳入路腔镜术与经口腔前庭腔镜术治疗cN0期PTC整体疗效相当,但经口腔前庭入路腔镜术后恢复更快,更值得应用。
