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The impact of no placement of drains in hemithyroidectomy on the postoperative course: A single-institutional study in Japanese patients
http://hdl.handle.net/10069/37733
http://hdl.handle.net/10069/37733e74f2986-6917-478e-8a73-e219e2b0b1cc
名前 / ファイル | ライセンス | アクション |
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ActMed61_67.pdf (493.4 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2017-08-18 | |||||
タイトル | ||||||
タイトル | The impact of no placement of drains in hemithyroidectomy on the postoperative course: A single-institutional study in Japanese patients | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | drain | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | thyroidectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | thyroid cancer | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | thyroid nodule | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | hospital stay | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
Yamanouchi, Kosho
× Yamanouchi, Kosho× Kuba, Sayaka× Sakimura, Chika× Takatsuki, Mitsuhisa× Hayashida, Naomi× Eguchi, Susumu |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: Recently, the placement of drains in thyroidectomy has been debated. In this study, we evaluated the efficacy and safety of no placement of drains in hemithyroidectomy. Methods: After obtaining approval from the Institutional Review Board, we started not placing drains during surgery in adult patients who underwent hemithyroidectomy with or without central neck lymph node dissection for benign thyroid nodules or well-differentiated thyroid cancer, with informed consent being obtained. We compared the clinical data of the patients without drain placement (n=19) to the historical data of consecutive patients with a suction drain (n=20). Results: The operative wound and amount and characteristics of the drainage fluid were monitored every 2 h after the operation until the following morning, in addition to monitoring the oxygen saturation and an electrocardiogram. The proportion of patients undergoing cervical lymph node dissection was identical between the groups. The drain was removed on Day 1 after surgery in 19 patients and on Day 2 after surgery in 1 patient. The patients without a drain showed a significantly shorter postoperative hospital stay than those with a drain (4.0 vs. 4.5 days, respectively, p=0.03). No patients in either group experienced postoperative bleeding or seroma or wound infection. Conclusion: The hemithyroidectomy patients without a drain were able to be discharged earlier than those with a drain and without any adverse events, provided they received close monitoring after surgery. |
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書誌情報 |
Acta medica Nagasakiensia 巻 61, 号 2, p. 67-70, 発行日 2017-08 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
出版者 | ||||||
出版者 | Nagasaki University School of Medicine | |||||
出版者別言語 | ||||||
値 | 長崎大学医学部 | |||||
sortkey | ||||||
値 | 04 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia, 61(2), pp.67-70; 2017 |