편측 갑상선 절제술시 배액관 유무에 따른 유용성 비교 연구

박다희; 장효범; 이재민; 이민형; 이진춘; 성의숙

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자료유형: 학술저널

저자정보: 박다희 (양산부산대학교병원) 장효범 (양산부산대학교병원) 이재민 (부산대학교 의과대학 이비인후과학교실) 이민형 (양산부산대학교병원) 이진춘 (부산대학교) 성의숙 (부산대학교)

저널정보: 대한이비인후과학회 부산,울산,경남 지부회 임상이비인후과 임상이비인후과 제32권 제1호

발행연도: 2021.1

수록면: 53 - 58 (6page)

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Background and Objectives: A thyroidectomy is an operation that can lead to life-threatening complications. The drainage after thyroidectomy has been suggested to prevent these complications. The aim of this study is to evaluate the feasibility and safety of hemithyroidectomy without drains. Materials and Methods: This retrospective casecontrol study included all hemithyroidectomies with central neck dissection (CND) or without CND performed at the single hospital from January 2015 to December 2017. The demographic data, operation times, hospital days, and postoperative complications were evaulated. Results: During the study period, Two hundred?twenty patients who were underwent hemithyroidectomy for benign or well differentiated carcinoma. The majority of patients were female (N=153, 69.5%). Drains were inserted postoperatively after 102 surgeries (46.4%) compared to 118 surgeries (53.6%) without drains. There were no significant difference in seroma, hematoma, infection, vocal cord palsy, hypocalcemia between drain group and without drain group(p>0.05). However, there were significant difference in operation times and hospital days between drain group and without drain group (p<0.001, p<0.001, respectively). Conclusions: The tumor size in drain group tended to be relatively large, and hospital days and operation times were significantly increased. However, there were no differences in postoperative complications between drain and without drain groups

#편측갑상선절제술 #배액관 #합병증 #수술시간 #재원기간.

참고문헌 (18)

참고문헌 신청

Shaha AR / 1993 / Selective use of drains in thyroid surgery / J Surg Oncol 52(4):241~243

Williams J / 2003 / Survey of the use of suction drains in head and neck surgery and analysis of their biomechanical properties / J Otolaryngol 32(1):16~22

우승훈 / 2013 / Comparison of Natural Drainage Group and Negative Drainage Groups after Total Thyroidectomy: Prospective Randomized Controlled Study / Yonsei Medical Journal 54(1):204~208

Bui TD / 2006 / Negative pressure wound therapy with off-the-shelf components / Am J Surg 192(2):235~237

Karayacin K / 1997 / Thyroidectomy with and without drains / East Afr Med J 74(7):431~432

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