ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT U TUYẾN GIÁP KHÔNG ĐẶT DẪN LƯU TẠI BỆNH VIỆN K

Abstract

Objective:To evaluate the outcomes of thyroid surgery without drainage at Viet Nam national cancer hospital from 2019 to 2021. Materials and method: A cross-sectional descriptive study, on thyroid tumor patients who underwent surgery without drainage at K hospital from 1/2019 to 8/2021. Monitor postoperative complications (fluid collection, hematoma, bleeding, hypoparathyroidism, hoarseness, pain level after surgery, hospital stay). Results: Surgery without drainage on 130 patients, the mean age of patients in the study was 43.5±10.9 years old. Postoperative complications recorded 6.9% of patients with fluid collection, 6.2% of patients with temporary hoarseness and 4.6% of temporary hypoparathyroidism, 3.8% of postoperative hematoma, 0.8% of bleeding requiring reoperation. The mean postoperative pain on day 0 was 3.18±0.41, day 1 was 2.48±0.56. The mean hospital stay was 4.78±0.76.  Conclusions: Surgery without drainage in cases of thyroid tumors without associated cervical lymph node dissection is safe, shortens hospital stay and convenient for patients in the postoperative period, bleeding complications that require reoperation only occur in 0.8% of patients, other complications after surgery mostly resolved spontaneously, with no cases lasting > 6 months.