Clinical Investigation of Drainage Volume Variation after Initial Thyroidectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHAOShu-yan , YINZhe ,  CHENGRuo-chuan

Department of Thyroid Surgery, The First Affiliated Hospital of Kunming Medical University and Clinical Research Center of Thyroid Surgery of Yunnan Province, Kunming 650032, Yunnan Province, China;

Corresponding author：

CHENGRuo-chuan, Email: cruochuan@foxmail.com

Keywords：

Thyroid diseases; Surgery; Amount of drainage liquid; Safe extubation time; Risk extubation time

DOI：

10.7507/1007-9424.20150208

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the variation regularity about volume of drainage after initial thyroidectomy, and to find out the time points of safety extubation and the time points of risk extubation. Methods Between September 2013 and April 2014, the clinical date of 71 cases of thyroid tumor who underwent thyroidectomy were prospectively analyzed and completely random designed. The patients were indwelling drain after thyroidectomy, the volume of drainage liquid were registered at each point of time in period of 48 hours after operation and analyzed its the variation regularity. Results The volume of drainage fluid in 48 h after operation was gradually decreased in 71 patients. The reduce speed of volume of drainage fluid in the 12 h after operation was faster, then was significantly slower, and gradually stabilized. The amount of the drainage fluid reached the peak in 2 h after operation in 22 cases, and then gradually decreased and reached the stabilization. Conclusions The 2 hours after thyroidectomy is the risk drainage removing time when is relatively safe. The 12 hours after thyroidectomy is the safety drainage removing time, after that there is no longer any meaning to keep drainage tube.

Citation： ZHAOShu-yan, YINZhe, CHENGRuo-chuan. Clinical Investigation of Drainage Volume Variation after Initial Thyroidectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(7): 799-802. doi: 10.7507/1007-9424.20150208 Copy

1.	American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer1, Cooper DS, Doherty GM, et al. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer:the American Thyroid Association (ATA) guidelines taskforce on thyroid nodules and differentiated thyroid cancer. Thyroid, 2009, 19(11):1167-1214.
2.	田文, 姚京. 甲状腺结节的临床评估. 中国普外基础与临床杂志, 2014, 21(9):1066-1069.
3.	Dunlap WW, Berg RL, Urquhart AC. Thyroid drains and postoperative drainage. Otolaryngol Head Neck Surg, 2010, 143(2):235-238.
4.	Herranz J, Latorre J. Drainage in thyroid and parathyroid surgery. Acta Otorrinolaringol Esp, 2007, 58(1):7-9.
5.	滕卫平, 刘永锋, 高明. 甲状腺结节和分化型甲状腺癌诊治指南. 中国肿瘤临床, 2012, 39(17):1249-1271.
6.	Ahluwalia S, Hannan SA, Mehrzad H, et al. A randomised controlled trial of routine suction drainage after elective thyroid and parathyroid surgery with ultrasound evaluation of fluid collection. Clin Otolaryngol, 2007, 32(1):28-31.
7.	Khanna J, Mohil RS, Chintamani, Bhatnagar D, et al. Is the routine drainage after surgery for thyroid necessary? A prospective randomized clinical study[ISRCTN63623153]. BMC Surg, 2005, 5:11.
8.	林胜璋.甲状腺癌根治术后引流的应用. 中国现代普通外科进展,2001,4(3):189-190.
9.	谭浩明, 磨鹏诗, 何暖坚, 等. Drainobag 真空高负压引流瓶与双管负压引流在乳腺癌术后引流中的疗效对比研究. 中国医药指南, 2012, 10(15):419-420.
10.	缪金透, 金宇, 董策. Drainobag 真空负压引流在甲状腺外科术后的应用. 中国中西医结合外科杂志, 2009, 15(4):409-410.
11.	Morrissey AT, Chau J, Yunker WK, et al. Comparison of drain versus no drain thyroidectomy:randomized prospective clinical trial. J Otolaryngol Head Neck Surg, 2008, 37(1):43-47.
12.	Tübergen D, Moning E, Richter A, et al. Assessment of drain insertion in thyroid surgery? Zentralbl Chir, 2001, 126(12):960-963.
13.	Schoretsanitis G, Melissas J, Sanidas E, et al. Does draining the neck affect morbidity following thyroid surgery? Am Surg, 1998, 64(8):778-780.
14.	Tabaqchali MA, Hanson JM, Proud G. Drains for thyroidectomy/parathyroidectomy:fact or fiction? Ann R Coll Surg Engl, 1999, 81(5):302-305.
15.	Colak T, Akca T, Turkmenoglu O, et al. Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders. J Zhejiang Univ Sci B, 2008, 9(4):319-323.
16.	Khanna J, Mohil RS, Bhatnagar D, et al. Is the routine drainage after surgery for thyroid necessary?-A prospective randomized clinical study[ISRCTN63623153]. BMC Surg, 2005, 5(1):11.
17.	段家镜, 蒋伟国, 赵淑艳, 等. 甲状腺术后不行引流 105 例报道. 中国普外基础与临床杂志, 2015, 22(3):311.

1. American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer1, Cooper DS, Doherty GM, et al. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer:the American Thyroid Association (ATA) guidelines taskforce on thyroid nodules and differentiated thyroid cancer. Thyroid, 2009, 19(11):1167-1214.
2. 田文, 姚京. 甲状腺结节的临床评估. 中国普外基础与临床杂志, 2014, 21(9):1066-1069.
3. Dunlap WW, Berg RL, Urquhart AC. Thyroid drains and postoperative drainage. Otolaryngol Head Neck Surg, 2010, 143(2):235-238.
4. Herranz J, Latorre J. Drainage in thyroid and parathyroid surgery. Acta Otorrinolaringol Esp, 2007, 58(1):7-9.
5. 滕卫平, 刘永锋, 高明. 甲状腺结节和分化型甲状腺癌诊治指南. 中国肿瘤临床, 2012, 39(17):1249-1271.
6. Ahluwalia S, Hannan SA, Mehrzad H, et al. A randomised controlled trial of routine suction drainage after elective thyroid and parathyroid surgery with ultrasound evaluation of fluid collection. Clin Otolaryngol, 2007, 32(1):28-31.
7. Khanna J, Mohil RS, Chintamani, Bhatnagar D, et al. Is the routine drainage after surgery for thyroid necessary? A prospective randomized clinical study[ISRCTN63623153]. BMC Surg, 2005, 5:11.
8. 林胜璋.甲状腺癌根治术后引流的应用. 中国现代普通外科进展,2001,4(3):189-190.
9. 谭浩明, 磨鹏诗, 何暖坚, 等. Drainobag 真空高负压引流瓶与双管负压引流在乳腺癌术后引流中的疗效对比研究. 中国医药指南, 2012, 10(15):419-420.
10. 缪金透, 金宇, 董策. Drainobag 真空负压引流在甲状腺外科术后的应用. 中国中西医结合外科杂志, 2009, 15(4):409-410.
11. Morrissey AT, Chau J, Yunker WK, et al. Comparison of drain versus no drain thyroidectomy:randomized prospective clinical trial. J Otolaryngol Head Neck Surg, 2008, 37(1):43-47.
12. Tübergen D, Moning E, Richter A, et al. Assessment of drain insertion in thyroid surgery? Zentralbl Chir, 2001, 126(12):960-963.
13. Schoretsanitis G, Melissas J, Sanidas E, et al. Does draining the neck affect morbidity following thyroid surgery? Am Surg, 1998, 64(8):778-780.
14. Tabaqchali MA, Hanson JM, Proud G. Drains for thyroidectomy/parathyroidectomy:fact or fiction? Ann R Coll Surg Engl, 1999, 81(5):302-305.
15. Colak T, Akca T, Turkmenoglu O, et al. Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders. J Zhejiang Univ Sci B, 2008, 9(4):319-323.
16. Khanna J, Mohil RS, Bhatnagar D, et al. Is the routine drainage after surgery for thyroid necessary?-A prospective randomized clinical study[ISRCTN63623153]. BMC Surg, 2005, 5(1):11.
17. 段家镜, 蒋伟国, 赵淑艳, 等. 甲状腺术后不行引流 105 例报道. 中国普外基础与临床杂志, 2015, 22(3):311.

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Clinical Investigation of Drainage Volume Variation after Initial Thyroidectomy

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