Abstract：
BACKGROUND: Despite ample of evidence regarding feasibility of simple drainless thyroid surgeries, the evidence of feasibility of such procedures in goiters and central neck dissections remains limited.
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.
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.
摘要：
背景：尽管有足够的证据证明简单的无引流甲状腺手术的可行性，这种手术在甲状腺肿和中央颈淋巴结清扫术中的可行性证据仍然有限.
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。
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。
