■晚期口腔癌手术导致大面积剥蚀,导致血清肿和血肿。封闭的抽吸装置会消除死腔,并在伤口床上产生负压。不放置或早期移除引流管会导致各种并发症,而长时间放置会导致手术部位感染。该研究旨在评估影响术后颈部引流量的因素,指导外科医生决定拔除引流管的时间。
■该研究包括222例口腔鳞状细胞癌患者,他们接受了原发肿瘤切除和颈部清扫。人口统计,临床,和手术细节进行回顾性分析.
■患者的平均年龄为49.1岁。大多数患者患有需要广泛手术的晚期疾病。根治性颈清扫术和带蒂皮瓣重建的患者与选择性颈清扫术和游离皮瓣相比,引流量具有统计学意义。分别。手术时间较长的患者,更多的失血,术后白蛋白值低,并发症显示引流量增加。排水去除的平均持续时间为7天,第10天所有的排水沟都被拔掉了.
■原发性疾病晚期,根治性和改良性颈部夹层,PMMC皮瓣重建,手术时间更长,更高的失血量有更高的引流输出。因此,患者参数,肿瘤因素,手术因素影响引流输出和住院。
■对各种因素进行认真的术前和围手术期评估可以帮助培训外科医生做出适当的引流时间决定。
UNASSIGNED: Advanced oral carcinoma surgery results in large denuded areas leading to seroma and hematoma. Closed suction drains obliterate dead space and create negative pressure on wound bed. Non-placement or early removal of drain can lead to various complications, while placement for long duration can cause surgical site infection. The study aims to evaluate factors affecting postoperative neck drain volume, guiding surgeons for decision making for time of drain removal.
UNASSIGNED: The study comprised of 222 patients with oral squamous cell carcinoma who underwent primary tumor resection and neck dissection. Demographical, clinical, and surgical details were retrospectively analyzed.
UNASSIGNED: The mean age of patients was 49.1 years. Majority of patients had advanced disease requiring extensive surgery. Patients with radical neck dissection and those reconstructed with pedicled flap had statistically significant drain volume as compared to those with selective neck dissection and free flaps, respectively. Patients with longer duration of surgery, higher blood loss, low postoperative albumin value, and complications showed increased drain volume. Mean duration of drain removal was 7 days, and all drains were removed by day 10.
UNASSIGNED: Advanced stage primary disease, radical and modified neck dissections, PMMC flap reconstruction, longer duration of surgery, and higher blood loss had higher drain output. Thus, patient parameters, tumor factors, and surgery factors influence drain output and hospitalization.
UNASSIGNED: Diligent preoperative and perioperative assessment of various factors can aid trainee surgeons to make decisions for appropriate time for drain removal.