Percutaneous packet-suturing for tunnel bleeding in endoscopic thyroidectomy via thoracic and mammary approach

VernacularTitle:经皮打包缝扎在胸乳入路腔镜甲状腺手术中预防隧道出血的应用
Author: Haibo CHEN ; Hai'ou QU ; Xiaolei LI ;
Publication Type:Journal Article
Keywords: Thyroidectomy; Laparoseope; Tunnel bleeding
From: Chinese Journal of General Practitioners 2016;15(7):556-558
CountryChina
Language:Chinese
Abstract: The clinical data of 192 patients undergoing endoscopic thyroidectomy via thoracic and mammary approach from June 2010 to July 2015 were retrospectively analyzed.Tunnel bleeding occurred in 11 cases (hemorrhage group),which was associated with the incorrect level of puncture(P ＜ 0.01).The tunnel bleeding was stopped by percutaneous packet-suturing in all 11 cases.There were no significant differences in postoperative drainage [(65.4 ± 7.5) and (63.8 ± 7.1) ml],subcutaneous petechiae [1/11 and 1.1％ (2/181)],nursing costs[(135 ±20) and(132 ± 16) yuan],postoperative hospital stay[(4.5 ± 1.6) and (4.4 ± 1.3) d] and rehemorrhage [0/11 and 0.6％ (1/181)] between hemorrhage and nonhemorrhage groups.The results show that percutaneous packet-suturing is reliable and effective method for tunnel bleeding without additional postoperative complications.