METHODS: Patients undergoing total thyroidectomy (TT) between January 2017 and July 2022 were included. The study included two study groups: drainless TT with central neck dissection (CND) and drainless TT due to goiter, which were compared to two controls: non-goiter drainless TT and drained TT for goiter or with CND. Main outcome was post-operative seroma rate.
RESULTS: 156 patients met the inclusion criteria for each of the group. No significant differences between groups were found for permanent hypocalcemia, and other complications. Post-operative seroma was found in nine patients (5.8%), all from study groups. No significant differences between groups were found for local infections, aspirations, post-discharge drain insertion.
CONCLUSIONS: Complex drainless thyroid surgeries, including goiter and CND, are feasible and do not seem to significantly increase rate of post-operative seromas or infections.
方法:纳入2017年1月至2022年7月接受甲状腺全切除术(TT)的患者。该研究包括两个研究组:中央颈夹层(CND)的无引流TT和甲状腺肿引起的无引流TT,将其与两个对照进行比较:非甲状腺肿无引流TT和甲状腺肿或CND的引流TT。主要结果是术后血清肿发生率。
结果:每组156例患者符合纳入标准。两组间永久性低钙血症无显著差异,和其他并发症。9例(5.8%)出现术后血清肿,全部来自研究小组。对于局部感染,组间没有发现显著差异,愿望,放电后排水管插入。
结论:复杂甲状腺手术,包括甲状腺肿和CND,是可行的,并且似乎不会显着增加术后血清瘤或感染的发生率。