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Drainage During Endoscopic Thyroidectomy.

Gao-Xiang Chen1, Cheng Li1, Hai Zhang1

  • 1Thyroid and Breast Surgery, Ningbo Medical Center Lihuili Eastern Hospital.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 25, 2019
PubMed
Summary
This summary is machine-generated.

A new neck drainage technique for endoscopic thyroidectomy improves suprasternal fossa restoration and cosmetic outcomes. This method enhances patient satisfaction without increasing operation time or drainage volume.

Keywords:
AestheticsDrainage tubeEndoscopySuprasternal fossaThyroid

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Area of Science:

  • Surgical Oncology
  • Plastic Surgery
  • Endocrine Surgery

Background:

  • Conventional cervical drainage tubes in endoscopic thyroidectomy can negatively impact the suprasternal fossa and cosmetic results.
  • Patient anatomy, such as a shallow or absent suprasternal fossa, presents challenges for conventional drainage techniques.
  • A modified drainage approach is proposed to address these cosmetic concerns.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of a modified neck drainage technique in restoring the suprasternal fossa.
  • To compare the cosmetic outcomes and patient satisfaction between conventional and improved drainage methods.
  • To assess the impact of the new technique on surgical parameters like drainage volume and extubation time.

Main Methods:

  • A prospective study involving 117 female patients undergoing endoscopic thyroidectomy.
  • Patients were divided into two groups: Conventional drainage (n=59) and Improved drainage (n=58).
  • Suprasternal fossa restoration was assessed postoperatively, and drainage volume, extubation time, and neck sensations were compared.

Main Results:

  • The Improved drainage group demonstrated significantly better restoration of the suprasternal fossa compared to the Conventional group.
  • Patients in the Improved group reported higher satisfaction with cosmetic outcomes.
  • No significant differences were observed in operation time, postoperative drainage volume, or extubation time between the groups.

Conclusions:

  • The novel drainage technique in endoscopic thyroidectomy via chest and breast approach effectively restores the suprasternal fossa.
  • This technique improves cosmetic results and enhances patient satisfaction following thyroid surgery.
  • The modified approach offers a valuable alternative for optimizing aesthetic outcomes in endoscopic thyroidectomy.