加速康复外科在甲状腺围手术期的应用

doi:10.6040/j.issn.1673-3770.0.2020.402

Abstract

Abstract: Surgery is the main treatment for thyroid tumors. The commonly used surgical methods include traditional open surgery, endoscopic surgery, and Da Vinci robotic surgery. For any surgical technique employed, strict quality control standards should be maintained, which include minimal surgical trauma, shorter postoperative recovery time, and good recovery. With the increasing number of thyroid surgeries, the postoperative rehabilitation outcomes have attracted considerable attention from both doctors and patients. In the perioperative management of thyroid surgery, adopting a management method based on the premise of enhanced recovery after surgery(ERAS)can greatly improve and expedite the recovery of patients in the perioperative period. This innovative concept and method will surely become the springboard for future developments. The application of ERAS surgery in the perioperative period of thyroidectomy is reviewed in our paper.

Key words: Enhanced recovery after surgery, Thyroid surgery, Perioperative period, Application status, Development direction

CLC Number:

R736

WANG He,SONG Xicheng. Application of enhanced recovery after surgery in the perioperative period of thyroidectomy[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 101-107.

References

[1] 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.
[2] 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, 54(6):413-416.doi:10.3760/cma.j.issn.0529-5815.2016.06.004.
[3] Loop T. Fast track in thoracic surgery and anaesthesia: update of concepts[J]. CurrOpinAnaesthesiol, 2016, 29(1): 20-25. doi:10.1097/ACO.0000000000000282.
[4] Maempel JF, Walmsley PJ. Enhanced recovery programmes can reduce length of stay after total knee replacement without sacrificing functional outcome at one year[J]. Ann R Coll Surg Engl, 2015, 97(8): 563-567. doi:10.1308/rcsann.2015.0016.
[5] Aniskevich S, Pai SL. Fast track anesthesia for liver transplantation: Review of the current practice[J]. World J Hepatol, 2015, 7(20): 2303-2308. doi:10.4254/wjh.v7.i20.2303.
[6] Williamsson C, Karlsson N, Sturesson C, et al. Impact of a fast-track surgery programme for pancreaticoduodenectomy[J]. Br J Surg, 2015, 102(9): 1133-1141. doi:10.1002/bjs.9856.
[7] Philp S, Carter J, Barnett C, et al. Patients' perspectives of fast-track surgery and the role of the fast-track clinical nurse consultant in gynecological oncology[J]. Holist Nurs Pract, 2015, 29(3): 158-166. doi:10.1097/HNP.0000000000000086.
[8] 中华医学会肠外肠内营养学分会加速康复外科协作组. 结直肠手术应用加速康复外科中国专家共识(2015 版)[J].中国实用外科杂志, 2015,35(8):841-843. doi:10.7504/CJPS.ISSN1005-2208.2015.08.12.
[9] 中国研究型医院学会肝胆胰外科专业委员会.肝胆胰外科术后加速康复专家共识(2015版)[J].中华消化外科杂志, 2015, 15(1):1-6. doi:10.3969/j.issn.1674-7402.2016.04.002.
[10] 中国医师协会麻醉学医师分会.促进术后康复的麻醉管理专家共识[J].中华麻醉学杂志2015,35(2):141-148. doi: 10.3760/cma.j.issn.0254-1416.2015.02.001
[11] 中国抗癌协会头颈肿瘤专业委员会,中国抗癌协会甲状腺癌专业委员会.甲状腺外科ERAS中国专家共识(2018 版)[J].中国肿瘤,2019,28(1):26-38. doi:10.11735/j.issn.1004-0242.2019.01.A004.
[12] 杨雷, 郑荣寿, 王宁, 等. 2010年中国甲状腺癌发病与死亡情况[J]. 中华预防医学杂志,2014,48(8):663-668. doi:10.3760/cma.j.issn.0253-9624.2014.08.003 YANG Lei, ZHENG Rongshou, WANG Ning, et al. Analysis of incidence and mortality of thyroid cancer in China, 2010[J]. Chinese Journal of Preventive Medicine, 2014,48(8):663-668. doi:10.3760/cma.j.issn.0253-9624.2014.08.003.
[13] Abraham N, Albayati S. Enhanced recovery after surgery programs hasten recovery after colorectal resections[J]. World J Gastrointest Surg, 2011, 3(1): 1-6. doi:10.4240/wjgs.v3.i1.1.
[14] McLeod RS, Aarts MA, Chung F, et al. Development of an enhanced recovery after surgery guideline and implementation strategy based on the knowledge-to-action cycle[J]. Ann Surg, 2015, 262(6):1016-1025. doi:10.1097/SLA.0000000000001067.
[15] Hijazi Y, Gondal U, Aziz O. A systematic review of prehabilitation programs in abdominal cancer surgery[J]. Int J Surg, 2017, 39: 156-162. doi:10.1016/j.ijsu.2017.01.111.
[16] Dronkers JJ, Lamberts H,Reutelingsperger IM, et al. Preoperative therapeutic programme for elderly patients scheduled for elective abdominal oncological surgery: a randomized controlled pilot study[J]. Clin Rehabil, 2010, 24(7): 614-622.doi:10.1177/0269215509358941.
[17] West MA, Loughney L, Lythgoe D, et al. Effect of prehabilitation on objectively measured physical fitness after neoadjuvant treatment in preoperative rectal cancer patients: a blinded interventional pilot study[J]. Br J Anaesth, 2015, 114(2): 244-251. doi:10.1093/bja/aeu318.
[18] Aarts MA, Okrainec A, Glicksman A, et al. Adoption of enhanced recovery after surgery(ERAS)strategies for colorectal surgery at academic teaching hospitals and impact on total length of hospital stay[J]. Surg Endosc, 2012, 26(2): 442-450. doi:10.1007/s00464-011-1897-5.
[19] van Stijn MF, Korkic-Halilovic I, Bakker MS, et al. Preoperative nutrition status and postoperative outcome in elderly general surgery patients: a systematic review[J]. JPEN J Parenter Enteral Nutr, 2013, 37(1): 37-43. doi:10.1177/0148607112445900.
[20] Smith I, Kranke P, Murat I, et al. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology[J]. Eur J Anaesthesiol, 2011, 28(8): 556-569. doi:10.1097/EJA.0b013e3283495ba1.
[21] McLeod R, Fitzgerald W, Sarr M, et al. Canadian Association of General Surgeons and American College of Surgeons evidence based reviews in surgery. 14-Preoperative fasting for adults to prevent perioperative complications[J]. Can J Surg, 2005, 48(5): 409-411.
[22] 贾英. 动态心电图与常规心电图在临床心脏病诊断中的应用价值[J]. 中国继续医学教育, 2018, 10(8): 103-105. JIA Ying. The value of application of dynamic electrocardiogram and routine electrocardiogram in the diagnosis of clinical heart disease[J]. China Continuing Medical Education, 2018,10(8): 103-105. doi:CNKI:SUN:LCWX.0.2019-17-104.
[23] 中华医学会麻醉学分会. 2014版中国麻醉学指南与专家共识[M]. 北京: 人民卫生出版社, 2014.
[24] Carey RM, Whelton PK, ACC/AHA Hypertension Guideline Writing Committee. Prevention, detection, evaluation, and management of high blood pressure in adults: synopsis of the 2017 American college of cardiology/American heart association hypertension guideline[J]. Ann Intern Med, 2018, 168(5): 351-358. doi:10.7326/M17-3203.
[25] Vasudeva P, Goel A, Sengottayan VK, et al. Antiplatelet drugs and the perioperative period: What every urologist needs to know[J]. Indian J Urol, 2009, 25(3): 296-301. doi:10.4103/0970-1591.56174.
[26] 中华医学会麻醉学分会. 2017版中国麻醉学指南与专家共识[M]. 北京: 人民卫生出版社, 2017.
[27] 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.
[28] 支修益, 卫生部临床路径审核专家委员会胸外科专家组.胸外科围手术期气道管理专家共识(2012年版).中国胸心血管外科临床杂志, 2013, 20(3): 251-255. doi: CNKI:SUN:ZXYX.0.2013-03-000.
[29] 多学科围手术期气道管理专家共识(2016年版)专家组. 多学科围手术期气道管理专家共识(2016年版).中国胸心血管外科临床杂志, 2016, 23(7): 641-645. doi: 10.3877/cma.j.issn.2095-8773.2016.03.01.
[30] 张宇, 宋西成. 加速康复外科理念在耳鼻咽喉头颈外科中的应用价值[J]. 中国耳鼻咽喉头颈外科, 2018, 25(5): 275-278. ZHANG Yu, SONG Xicheng. Application and prospect of enhanced recovery after surgery in otolaryngology[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2018,25(5): 275-278. doi: 10.16066/j.1672-7002.2018.05.016.
[31] 中国临床麻醉/疼痛相关专家组(统称).耳鼻咽喉头颈外科围术期气道管理专家共识[J].中国耳鼻咽喉头颈外科,2019,26(9):463-471.
[32] 王平, 谢秋萍. 腔镜甲状腺手术临床应用争议与共识[J]. 中国实用外科杂志,2015,35(1):76-78. doi: CNKI:SUN:ZGWK.0.2015-01-027.
[33] 王猛, 郑鲁明, 贺青卿, 等. 达芬奇机器人甲状腺手术650例[J]. 中国耳鼻咽喉头颈外科,2019,26(3):117-121. doi:10.16066/j.1672-7002.2019.03.001. WANG Meng, ZHENG Luming, HEQ ingqing, et al. Experience of 650 cases of thyroid surgery by da Vinci robot[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2019,26(3):117-121. doi:10.16066/j.1672-7002.2019.03.001.
[34] 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.
[35] 张彬, 安常明, 徐震纲, 等. 超声刀在甲状腺手术中的应用[J]. 中国耳鼻咽喉头颈外科, 2006, 13(6): 365-367. ZHANG Bin, AN Changming, XU Zhengang, et al. Thyroidectomy with harmonic scalpel[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2006,13(6): 365-367.doi: 10.3969/j.issn.1672-7002.2006.06.005.
[36] Shemen L. Thyroidectomy using the harmonic scalpel: analysis of 105 consecutive cases[J]. Otolaryngol Head Neck Surg, 2002, 127(4): 284-288. doi:10.1067/mhn.2002.128072.
[37] Samraj K,Gurusamy KS. Wound drains following thyroid surgery[J]. Cochrane Database Syst Rev, 2007(4): CD006099. doi:10.1002/14651858.CD006099.pub2.
[38] 刘应金, 陈卫民, 陈镜沛, 等. 甲状腺手术不置引流1218例临床分析[J]. 临床和实验医学杂志, 2006, 5(5): 529. doi: 10.3969/j.issn.1671-4695.2006.05.057.
[39] 张海东, 龚单春, 张庆翔, 等. 甲状腺手术后不置引流的技术探讨[J]. 临床耳鼻咽喉头颈外科杂志,2015,29(2):194-196. doi:10.13201/j.issn.1001-1781.2015.02.029.
[40] 孙辉, 田文. 甲状腺及甲状旁腺术中喉上神经外支保护与监测专家共识(2017版)[J]. 中国实用外科杂志,2017,37(11):1243-1249. doi:10.19538/j.cjps.issn1005-2208.2017.11.14
[41] Wu CW, Dionigi G, Barczynski M, et al. International neuromonitoring study group guidelines 2018: Part II: Optimal recurrent laryngeal nerve management for invasivethyroidcancer-incorporation of surgical, laryngeal, and neuralelectrophysiologicdata[J]. Laryngoscope, 2018, 128(Suppl 3): S18-S27. doi:10.1002/lary.27360.
[42] Selvan B, Babu S, Paul MJ, et al. Mapping the compound muscle action potentials of cricothyroid muscle using electromyography in thyroid operations: a novel method to clinically type the external branch of the superior laryngeal nerve[J]. Ann Surg, 2009, 250(2): 293-300. doi:10.1097/SLA.0b013e3181b17342.
[43] 孙辉, 刘晓莉. 甲状腺手术并发症预防及处理[J]. 中国实用外科杂志, 2012, 32(5): 356-359. SUN Hui, LIU Xiaoli. The preservation method of the recurrent laryngeal nerve and superior laryngeal nerve in the thyroid surgery[J]. Chinese Journal of Practical Surgery, 2012,32(5): 356-359.
[44] 孙辉, 刘晓莉, 付言涛, 等. 术中神经监测技术在复杂甲状腺手术中的应用[J].中国实用外科杂志,2010,30(1):66-68. doi: CNKI:SUN:ZGWK.0.2010-01-032.
[45] 王玲, 周岩, 崔玲. 喉返神经监测仪在复杂甲状腺手术中的应用效果[J]. 中国当代医药, 2019, 26(7): 42-44, 48. WANG Ling, ZHOU Yan, CUI Ling. Application effect of laryngeal recurrent nerve monitor in complicated thyroid surgery[J]. China Modern Medicine, 2019, 26(7): 42-44, 48. doi: CNKI:SUN:ZGUD.0.2019-07-013.
[46] Kuriloff DB, Sanborn KV. Rapid intraoperative localization of parathyroid glands utilizing methylene blue infusion[J]. Otolaryngol Head Neck Surg, 2004, 131(5): 616-622. doi:10.1016/j.otohns.2004.04.026.
[47] 田文, 费阳, 郗洪庆. 甲状腺手术中新技术的合理应用及展望[J]. 中国实用外科杂志, 2018, 38(6): 600-604. doi: CNKI:SUN:ZGWK.0.2018-06-004. TIAN Wen, FEI Yang, XI Hongqing. Reasonable application and prospect of new technology in treatment of thyroid disease[J]. Chinese Journal of Practical Surgery, 2018,38(6): 600-604. doi: CNKI:SUN:ZGWK.0.2018-06-004.
[48] 李金娜, 王宁宁, 刘芳菲, 等. 现场干预在外科手术部位感染目标性监测中的作用[J].中华医院感染学杂志,2012,22(12):2531-2533. doi: CNKI:SUN:ZHYY.0.2012-12-025.
[49] Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. Study of Wound Infection and Temperature Group[J]. N Engl J Med, 1996, 334(19): 1209-1215. doi:10.1056/NEJM199605093341901.
[50] Tambyraja AL, Sengupta F, MacGregor AB, et al. Patterns and clinical outcomes associated with routine intravenous sodium and fluid administration after colorectal resection[J]. World J Surg, 2004, 28(10): 1046-1051; discussion 1051-2. doi:10.1007/s00268-004-7383-7.
[51] Li JS, Jiang ZW. Clinical significance of enhanced recovery after surgeryis not only to shorten the duration of hospital stay[J]. Chin J Dig Surg, 2015, 14(1):22-24. doi: 10.3760/cma.j.issn.1673-9752.2015.01.005
[52] Legrand G, Ruscio L, Benhamou D, et al. Goal-directed fluid therapy guided by cardiac monitoring during high-risk abdominal surgery in adult patients: cost-effectiveness analysis of esophageal Doppler and arterial pulse pressure waveform analysis[J]. Value Health, 2015, 18(5): 605-613. doi:10.1016/j.jval.2015.04.005.
[53] Bozzetti F, Mariani L. Perioperative nutritional support of patients undergoing pancreatic surgery in the age of ERAS[J]. Nutrition, 2014, 30(11/12): 1267-1271. doi:10.1016/j.nut.2014.03.002.
[54] Oderda G. Challenges in the management of acute postsurgical pain[J]. Pharmacotherapy, 2012, 32(9Suppl): 6S-11S. doi:10.1002/j.1875-9114.2012.01177.x.
[55] 卢秀波,顾玲,刘征. 甲状腺手术术后出血原因及处理[J].中国实用外科杂志,2018,38(6):605-607. doi: CNKI:SUN:ZGWK.0.2018-06-006.
[56] 王刚, 江志伟. 加速康复外科推广过程中面临的挑战与对策[J]. 山东大学学报(医学版), 2019, 57(9): 24-27, 37. doi:10.6040/j.issn.1671-7554.0.2019.533. WANG Gang, JIANG Zhiwei. Challenges and countermeasures in the spread of enhanced recovery after surgery[J]. Journal of Shandong University(Health Sciences), 2019, 57(9): 24-27, 37. doi:10.6040/j.issn.1671-7554.0.2019.533.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 10

[1]	LIN Bin,WANGHui-ge . Functional endoscopic sinus surgery, FESS[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(6): 481 -487 .
[2]	GONG Lei,SUN Jie,XUE Zi-chao,LI Jing-hua,XUE Wei-guo . DNA analysis of the cell cycle in sino-nasal neoplasm[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 193 -195 .
[3]	CHEN Wen-wen . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(5): 472 -472 .
[4]	LUAN Jiangang,LIANG Chuanyu,WEN Yanjun,LI Jiong . Construction of RNAi expressing plasmid vector of pSIRENshuttle for EGFR gene silencing[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 4 -8 .
[5]	MA Jing, ZHONG Cui-ping . Surgical method for nasopharyngeal fibroangioma encroaching on fossa pterygopalatina: with a report of 5 cases[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 30 -32 .
[6]	LIU Qiang-he,LUO Xiang-lin,GENG Wan-ping,CHEN Chen,LEI Xun,LIU Fang-xian,DENG Ming . Age-related spiral ganglion neuron damages and hearing loss in senescence accelerated mice[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 215 -217 .
[7]	. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 223 -226 .
[8]	. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 246 -247 .
[9]	. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 250 -252 .
[10]	. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 260 -262 .

Application of enhanced recovery after surgery in the perioperative period of thyroidectomy

PDF (PC)

Abstract

Cite this article

share this article

References

Related Articles 14

Metrics

Comments

Recommended 10

[1]	LI Danfeng, CHEN Fuquan, SHI Li, WANG Jian, XU Min. Application of three-dimensional image processing combined with image navigation technology in perioperative teaching of advanced doctors in rhinology [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 113-118.
[2]	XU Jianhui, LI Xin, CUN Jingjing, YE Fei. Effect of enhanced recovery after surgery in the perioperative period of endoscopic septoplasty [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 21-24.
[3]	WU Zhen, FANG Jugao. Progress and controversy of the transoral endoscopic thyroidectomy vestibular approach [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(3): 13-18.
[4]	ZHENG Guibin, ZHANG Guojun, MA Chi, WEI Shujian, SUN Haiqing, WU Guochang, GUO Yawen, ZHENG Haitao, SONG Xicheng. The safety and feasibility of transoral endoscopic thyroidectomy vestibular approach(TOETVA)in papillary thyroid cancer [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(3): 58-63.
[5]	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.
[6]	WU Xifu, KONG Weifeng, WANG Weihao, XU Huiqing, QI Min, YANG Qintai. Perioperative quality of life in patients with chronic rhinosinusitis with nasal polyps under enhanced recovery after surgery using QoR-15 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 5-8.
[7]	SONG Xiaoyu, ZHANG Yu, LI Chenglin, SONG Xicheng. Enhanced recovery after surgery for the treatment of chronic rhinosinusitis with nasal polyps [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 9-12.
[8]	QI Min, LI Hong, WANG Qian, TU Cuifang, YANG Qintai, XU Huiqing. Preliminary application of enhanced recovery after surgery in the perioperative nursing in functional endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 13-18.
[9]	LIU Dawei, ZHANG Yu, LI Chenglin, CHEN Xiumei, SONG Xicheng. Use of enhanced recovery after surgery in children with obstructive sleep apnea syndrome during the perioperative period [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 19-22.
[10]	WANG Li, ZHANG Yu, ZHANG Hua, LIU Xueyan, SONG Xicheng. Enhanced recovery after surgery in sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 23-26.
[11]	LÜ Xuqin, WAN Wenjin. Perioperative blood glucose management in patients with obstructive sleep apnea hypopnea syndrome and hyperglycemia [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 100-104.
[12]	SUN Yan-qing, ZHANG Qing-quan. Establishment of OSAHS peri-operative monitoring system [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(1): 9-11.
[13]	LIU Yi-qing, SHI Guang-gang. Clinical characteristics of nasal diseases in elderly patients [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(5): 29-31.
[14]	WANG Kun,ZHANG Qing-quan . Effect of peri-operative treatment on hemorrhage for patients with severe obstructive sleep apnea hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(6): 521-523 .