Clinical control study on the timing of drainage tube removal after radical thyroidectomy with da Vinci robot_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZENG Lingjuan , MA Jing , FAN Linjun ,  LUO Jia

Department of Breast and Thyroid Surgery, The First Affiliated Hospital of Army Medical University, Chongqing 400038, P. R. China;

Corresponding author：

LUO Jia, Email: 13402863734@126.com

Keywords：

robot; thyroid carcinoma; radical operation; extubation time; complication

DOI：

10.7507/1007-9424.201909118

Video：

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Objective To investigate the effect of timing of removal of drainage tube on complications after radical thyroidectomy by da Vinci robot.Methods Three hundred and fifteen patients with thyroid cancer treated by da Vinci robot from July 2014 to December 2018 in our department were reviewed. The patients were divided into two groups according to the amount of drainage fluid at extubation: observation group (99 cases) and control group (216 cases). The extubation indication: in the observation group, the drainage volume was less than 20 mL for 24 hours in two days; in the control group, according to most clinical concepts, the drainage volume was less than 10 mL for 24 hours in two days. The infection rate of wound and tunnel, the incidence of hematoma, wound healing, the time of drainage tube removal and the time of hospitalization were observed.Results There were no significant difference in infection rate, hematoma incidence and wound healing rate between the observation group and the control group (P>0.05). The postoperative extubation time and hospitalization time in the observation group was significantly shorter than that in the control group (P<0.05).Conclusions After the radical operation of thyroid cancer by Leonardo da Vinci robot, taking the amount of wound drainage fluid less than 20 mL/24 hours for 2 days as the time of extubation does not increase the incidence of complications, but it can significantly shorten the time of extubation and hospitalization of patients, which can be widely used in clinical practice.

Citation： ZENG Lingjuan, MA Jing, FAN Linjun, LUO Jia. Clinical control study on the timing of drainage tube removal after radical thyroidectomy with da Vinci robot. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(4): 460-463. doi: 10.7507/1007-9424.201909118 Copy

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18.	王小欢. 胸乳路径的腔镜甲状腺手术与开放性手术的对比研究. 河北医科大学, 2013.

1. 吴保坤. 甲状腺癌术后口服¹³¹碘治疗的临床护理分析. 中国卫生标准管理, 2015, 6(20): 204-206.
2. 林小燕, 苟菊香, 蒋义雪. 甲状腺癌患者术后拔管指针探讨. 护士进修杂志, 2015, 30(9): 850-851.
3. Miccoli P, Biricotti M, Matteucci V, et al. Minimally invasive video-assisted thyroidectomy: reflections after more than 2 400 cases performed. Surg Endosc, 2016, 30(6): 2489-2495.
4. Lee JH, Shin SW. Overdiagnosis and screening for thyroid cancer in Korea. Lancet, 2014, 384(9957): 1848.
5. 韦烨, 翟升永, 李浩浩, 等. 结直肠癌机器人手术临床应用现状. 中国实用外科杂志, 2011, 31(6): 489-491.
6. 张楠, 李涛. 微创外科技术的新进展. 医疗卫生装备, 2010, 31(9): 10-12.
7. 汪洋, 杨卫平. 达芬奇机器人甲状腺手术. 中国普通外科杂志, 2011, 20(5): 529-532.
8. Kang SW, Jeong JJ, Yun JS, et al. Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients. Surg Endosc, 2009, 23(11): 2399-2406.
9. 周宁新, 陈军周, 刘全达, 等. “达芬奇”机器人普通外科手术 180 例: 中国单中心报道. 中国普外基础与临床杂志, 2011, 18(7): 698-704.
10. 贺青卿, 周鹏, 庄大勇, 等. 经腋窝与胸前径路 da Vinci Si 机器人甲状腺腺叶切除二例. 国际外科学杂志, 2014, 41(2): 104-107.
11. 王东梅, 苏姗. 早期拔除引流管对甲状腺癌术后患者康复的影响. 实用临床医药杂志, 2017, 21(16): 174-175.
12. 董朝, 杨乐, 刘春生, 等. 全腔镜下甲状腺癌根治术与传统开放性手术的临床效果比较. 新疆医科大学学报, 2016, 39(3): 338-341.
13. 王猛, 郑鲁明, 贺青卿, 等. 达芬奇机器人双侧腋窝乳晕入路在肥胖患者甲状腺手术中的应用. 临床耳鼻喉头颈外科杂志, 2018, 32(14): 1061-1065.
14. 宫园园. 甲状腺癌术后早期拔除引流管对患者术后伤口愈合、住院时间以及患者满意度的影响. 中国现代药学应用, 2018, 12(16): 35-36.
15. 潘小明, 韦涌初. 胸腔引流管引流时间对纵隔肿瘤胸腔镜切除术后患者恢复的影响. 医学综述, 2015, 21(23): 4354-4355.
16. 王红玉. 胸腹腔引流管拔除后伤口愈合不良的影响因素及预见性干预方案探究. 苏州大学, 2014.
17. 黄群爱, 练荣丽, 钟美浓, 等. 医护一体化模式对甲状腺术后患者早期康复的影响. 国际护理学杂志, 2016, 35(18): 2477-2480.
18. 王小欢. 胸乳路径的腔镜甲状腺手术与开放性手术的对比研究. 河北医科大学, 2013.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical control study on the timing of drainage tube removal after radical thyroidectomy with da Vinci robot

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