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. 甲狀腺結節的臨床評估. 中國普外基礎與臨床雜志, 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.	滕衛平, 劉永鋒, 高明. 甲狀腺結節和分化型甲狀腺癌診治指南. 中國腫瘤臨床, 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.	林勝璋.甲狀腺癌根治術后引流的應用. 中國現代普通外科進展,2001,4(3):189-190.
9.	譚浩明, 磨鵬詩, 何暖堅, 等. Drainobag 真空高負壓引流瓶與雙管負壓引流在乳腺癌術后引流中的療效對比研究. 中國醫藥指南, 2012, 10(15):419-420.
10.	繆金透, 金宇, 董策. Drainobag 真空負壓引流在甲狀腺外科術后的應用. 中國中西醫結合外科雜志, 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.	段家鏡, 蔣偉國, 趙淑艷, 等. 甲狀腺術后不行引流 105 例報道. 中國普外基礎與臨床雜志, 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. 甲狀腺結節的臨床評估. 中國普外基礎與臨床雜志, 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. 滕衛平, 劉永鋒, 高明. 甲狀腺結節和分化型甲狀腺癌診治指南. 中國腫瘤臨床, 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. 林勝璋.甲狀腺癌根治術后引流的應用. 中國現代普通外科進展,2001,4(3):189-190.
9. 譚浩明, 磨鵬詩, 何暖堅, 等. Drainobag 真空高負壓引流瓶與雙管負壓引流在乳腺癌術后引流中的療效對比研究. 中國醫藥指南, 2012, 10(15):419-420.
10. 繆金透, 金宇, 董策. Drainobag 真空負壓引流在甲狀腺外科術后的應用. 中國中西醫結合外科雜志, 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. 段家鏡, 蔣偉國, 趙淑艷, 等. 甲狀腺術后不行引流 105 例報道. 中國普外基礎與臨床雜志, 2015, 22(3):311.

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Clinical Investigation of Drainage Volume Variation after Initial Thyroidectomy

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