Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (3): 107-110.doi: 10.6040/j.issn.1673-3770.1.2020.026

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Enhanced recovery after surgery applied to 100 cases of thyroid cancer surgery

MA Chi1, ZHENG Guibin1, SUN Haiqing1, WU Guochang1, GUO Yawen1, KONG Yang2, SONG Xicheng3, ZHENG Haitao1   

  1. 1. Thyroid surgery department, Yantai Yuhuangding Hospital, Qingdao University, Yantai 264000, Shandong, China;
    2. School of Public Health and Management, Binzhou Medical University, Yantai 264000, Shandong, China;
    3. Department of Otorhinolaryngology & Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai 264000, Shandong, China
  • Published:2020-06-29

Abstract: Objective To explore the perioperative application value of enhanced recovery after surgery(ERAS)in patients requiring radical surgery for thyroid carcinoma. Methods A total of 150 patients were randomly divided into the ERAS group(100)and control group(50). Both groups underwent radical surgery for thyroid carcinoma. Patients in ERAS group underwent a series of measures as recommended by the enhanced recovery philosophy, and those in the control group were treated by traditional method. Outcomes were assessed in terms of visual analogue scale(VAS), postoperative nausea and vomiting(PONV), postoperative complications, postoperative suction drainage, drainage tube removal time, subcutaneous hydrops, and postoperative stay. Results Compared to the control group, the ERAS group had lower postoperative pain score, fewer PONV cases, lesser medical expenses, and shorter drainage tube removal time and postoperative stay. Few postoperative complications were noted in both groups. Conclusion The application of ERAS in patients requiring radical surgery forthyroid carcinoma can effectively relieve postoperative discomfort such as pain and nausea, and shorten hospital stay.

Key words: Thyroid carcinoma, ERAS, Perioperation, Postoperation pain, Length of hospital stay

CLC Number: 

  • R736
[1] 中国加速康复外科专家组. 中国加速康复外科围手术期管理专家共识(2016)[J]. 中华外科杂志, 2016, 6(54):413-418.
[2] 中国抗癌协会头颈肿瘤专业委员会. 甲状腺外科ERAS中国专家共识(2018版)[J]. 中国肿瘤, 2019, 1(28):26-38.
[3] Hermann M, Gschwandtner E, Schneider M, et al. Modern thyroid surgery-the surgeon's endocrine-surgical understanding and his responsibility for the extent of surgery and complication rate[J]. Wien Med Wochenschr, 2020,27. doi:10.1007/s10354-020-00750-5.
[4] Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation[J]. Br J Anaesth, 1997, 78(5): 606-617. doi:10.1093/bja/78.5.606.
[5] Corniola MV, Meling TR, Tessitore E. Enhanced recovery after spine surgery-a multinational survey assessing surgeons' perspectives[J]. Acta Neurochir(Wien), 2020,162(6):1371-1377. doi:10.1007/s00701-020-04293-x.
[6] Derderian SC, Rove KO. Enhanced recovery after surgery among adolescents undergoing bariatric surgery[J]. Semin Pediatr Surg, 2020, 29(1): 150885. doi:10.1016/j.sempedsurg.2020.150885.
[7] Kamal YA, Hassanein A. Do perioperative protocols of enhanced recovery after cardiac surgery improve postoperative outcome?[J]. Interact Cardiovasc Thorac Surg, 2020, 30(5): 706-710. doi:10.1093/icvts/ivaa001.
[8] 宋西成. 加速康复外科理念在头颈肿瘤手术的应用价值[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 1-4. doi: 10.6040/j.issn.1673-3770.1.2018.010. SONG Xicheng. Application value of enhanced recovery after surgery in head and neck cancer surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 1-4. doi: 10.6040/j.issn.1673-3770.1.2018.010.
[9] Barbero-Mielgo M, García-Fernández J, Alonso-Menarguez B, et al. [Is postoperative acute pain control in colorectal surgery better within an enhanced recovery after surgery program(ERAS)?] [J]. J Healthc Qual Res, 2020, 35(2): 65-72. doi:10.1016/j.jhqr.2020.03.002.
[10] Loh JW, Taib NA, Cheong YT, et al. A double-blind, randomized controlled trial of pre-incision wound infiltration using diclofenac versus bupivacaine for post-operative pain relief in open thyroid and parathyroid surgery[J]. World J Surg, 2020,19. doi:10.1007/s00268-020-05458-6.
[11] 中华医学会外科学分会,中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南(2018版)[J]. 中国实用外科杂志, 2018, 38(1): 1-20.
[12] Papoian V, Handy KG, Villano AM, et al. Randomized control trial of opioid- versus nonopioid-based analgesia after thyroidectomy[J]. Surgery, 2020, 167(6): 957-961. doi:10.1016/j.surg.2020.01.011.
[13] Suzuki S, Yasunaga H, Matsui H, et al. Factors associated with neck hematoma after thyroidectomy: a retrospective analysis using a Japanese inpatient database[J]. Medicine(Baltimore), 2016, 95(7): e2812. doi:10.1097/MD.0000000000002812.
[14] Jiang Q, Mo YC, Jin D, et al. Effect of acupoint stimulation on the quality of recovery in patients with radical thyroidectomy under the concept of enhanced recovery after surgery: a randomized controlled trial[J]. Chin Acupunct Moxibustion, 2019, 39(12): 1289-1293. doi:10.13703/j.0255-2930.2019.12.009.
[15] Narayanan S, Arumugam D, Mennona S, et al. An evaluation of postoperative complications and cost after short-stay thyroid operations[J]. Ann Surg Oncol, 2016, 23(5): 1440-1445. doi:10.1245/s10434-015-5004-3.
[16] Geraci G, D'Orazio B, Chiarenza S, et al. Efficacy of fibrin sealant in thyroid surgery. Is drainage still necessary?[J]. Ann Ital Chir, 2019, 90: 100-105.
[17] Li L, Liu WZ, Tao HS, et al. Efficacy and safety of negative pressure versus natural drainage after thyroid surgery: a systematic review and meta-analysis[J]. Medicine(Baltimore), 2018, 97(31): e11576. doi:10.1097/MD.0000000000011576.
[18] 田文, 张浩. 甲状腺外科能量器械应用专家共识(2017版)[J]. 中国实用外科杂志, 2017, 37(9): 992-997. doi:10.19538/j.cjps.issn1005-2208.2017.09.14.
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