Control study of local pressure prevention of subcutaneous tunnel bleeding after unilateral axillary and bilateral areolar approach robot thyroid surgery

doi:10.3877/cma.j.issn.1674-3946.2023.06.006

Abstract

Abstract:

Objective

To investigate the effect of salt bag compression in subcutaneous tunnel using unilateral axillary bilateral areola (UABA) approach to prevent postoperative bleeding after thyroid surgery.

Methods

Clinical data of 239 patients who underwent UABA approach robotic surgery for thyroid cancer from January 2020 to December 2021 were retrospectively analyzed, including 121 patients who received salt bag compression in the tunnel area (observation group) and 118 patients who received routine tunnel nursing without compression (control group). SPSS 27.0 software was used to analyze all the data. χ² test was used to compare postoperative complications among different data groups. Perioperative indicators were expressed as (), and independent sample t test was used. P<0.05 was considered statistically significant.

Results

Postoperative 1 d, 2 d and 3 d drainage volume and total drainage volume in observation group were significantly lower than those in control group, and pain score, hospitalization days and extubation time were better than those in control group, with statistical significance (P<0.001). The incidence of postoperative bleeding between observation group and control group (0.8% vs. 5.9%) was statistically significant (P<0.05).

Conclusion

Salt bag compression method can effectively prevent or reduce subcutaneous tunnel bleeding and pain after UABA approach robotic thyroid surgery.

Key words: Thyroidectomy, Robotic Surgical Procedures, Unilateral Axilla-Bilateral Areola Approach, Subcutaneous Tunnel Bleeding

Jia Luo, Jingjing Zhao, Xiaozhen Cao, Ling Zhong, Linjun Fan, Lingjuan Zeng. Control study of local pressure prevention of subcutaneous tunnel bleeding after unilateral axillary and bilateral areolar approach robot thyroid surgery[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 603-606.

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References 15

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组别	例	年龄(岁)	性别	BMI(kg/m²）	肿瘤最大径(mm)	淋巴结转移
组别	例	年龄(岁)	男/女	BMI(kg/m²）	肿瘤最大径(mm)	是/否
观察组	121	35.5±7.1	19/102	21.5±3.9	11.9±4.7	43/78
对照组	118	35.0±6.8	25/93	22.7±2.3	10.8±3.7	47/71
t/χ²值		1.126	0.514	0.784	0.128	0.469
P值		0.241	0.447	0.695	0.624	0.493

组别	例	年龄(岁)	性别	BMI(kg/m²）	肿瘤最大径(mm)	淋巴结转移
组别	例	年龄(岁)	男/女	BMI(kg/m²）	肿瘤最大径(mm)	是/否
观察组	121	35.5±7.1	19/102	21.5±3.9	11.9±4.7	43/78
对照组	118	35.0±6.8	25/93	22.7±2.3	10.8±3.7	47/71
t/χ²值		1.126	0.514	0.784	0.128	0.469
P值		0.241	0.447	0.695	0.624	0.493

组别	例	术中出血(ml)	手术时间(min)	手术方式
组别	例	术中出血(ml)	手术时间(min)	A/B/C
观察组	121	31.4±22.8	166.5±58.0	27/68/26
对照组	118	30.7±20.2	157.3±69.7	25/61/32
t/χ²值		0.329	0.227	1.01
P值		0.426	0.361	0.595
组别	例	淋巴结清扫数(枚)	住院费用(万元)	住院天数(d)
观察组	121	12.6±6.8	6.4±4.9	3.1±0.6
对照组	118	11.8±6.3	6.2±5.0	4.1±1.0
t/χ²值		3.052	0.341	-38.680
P值		0.081	0.734	<0.001

组别	例	术中出血(ml)	手术时间(min)	手术方式
组别	例	术中出血(ml)	手术时间(min)	A/B/C
观察组	121	31.4±22.8	166.5±58.0	27/68/26
对照组	118	30.7±20.2	157.3±69.7	25/61/32
t/χ²值		0.329	0.227	1.01
P值		0.426	0.361	0.595
组别	例	淋巴结清扫数(枚)	住院费用(万元)	住院天数(d)
观察组	121	12.6±6.8	6.4±4.9	3.1±0.6
对照组	118	11.8±6.3	6.2±5.0	4.1±1.0
t/χ²值		3.052	0.341	-38.680
P值		0.081	0.734	<0.001

组别	例	隧道出血	胸壁瘀斑
观察组	121	1(0.8)	1(0.8)
对照组	118	7(5.9)	4(3.4)
χ²值		4.814	1.069
P值		0.028	0.301

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