Surgical drains can be safely avoided in lateral neck dissections for papillary thyroid cancer

Michal Mekel; Antonia E. Stephen; Randall D. Gaz; Gregory W. Randolph; Sara Richer; Zvi H. Perry; Carrie C. Lubitz; Matthew A. Nehs; Sareh Parangi; Richard A. Hodin

doi:10.1016/j.amjsurg.2009.04.006

Surgical drains can be safely avoided in lateral neck dissections for papillary thyroid cancer

Michal Mekel, Antonia E. Stephen, Randall D. Gaz, Gregory W. Randolph, Sara Richer, Zvi H. Perry, Carrie C. Lubitz, Matthew A. Nehs, Sareh Parangi, Richard A. Hodin

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Background: Drains are widely used in lateral neck dissections (LNDs). Our objective was to compare outcomes of LNDs for papillary thyroid cancer (PTC) with and without drains. Methods: One hundred sixty-five LNDs in 129 patients operated on from July 2001 to October 2008 were analyzed retrospectively. LNDs were divided according to the number of excised lymph nodes as follows: group A < median and group B > median. Further categorization was based on the use of a drain. Main outcome measures were wound complications requiring intervention. Results: One hundred two LNDs were performed with a drain and 63 without. The overall rate of wound complications was 3%. There was no significant difference in complication rate between the drain and the non-drain group (group A: 1.8% vs 0; group B: 2.2% vs 7.9%, respectively). Conclusions: Significant seromas/hematomas are rare complications of LNDs. Patients who undergo LND for PTC without a drain show no significantly increased rate of these complications.

Original language	English
Pages (from-to)	485-490
Number of pages	6
Journal	American Journal of Surgery
Volume	199
Issue number	4
DOIs	https://doi.org/10.1016/j.amjsurg.2009.04.006
State	Published - 1 Apr 2010
Externally published	Yes

Keywords

Drain
Neck dissection
Papillary
Thyroid cancer

ASJC Scopus subject areas

Surgery

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.amjsurg.2009.04.006

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@article{9697d3e20ccc480195ad69ace9432911,

title = "Surgical drains can be safely avoided in lateral neck dissections for papillary thyroid cancer",

abstract = "Background: Drains are widely used in lateral neck dissections (LNDs). Our objective was to compare outcomes of LNDs for papillary thyroid cancer (PTC) with and without drains. Methods: One hundred sixty-five LNDs in 129 patients operated on from July 2001 to October 2008 were analyzed retrospectively. LNDs were divided according to the number of excised lymph nodes as follows: group A < median and group B > median. Further categorization was based on the use of a drain. Main outcome measures were wound complications requiring intervention. Results: One hundred two LNDs were performed with a drain and 63 without. The overall rate of wound complications was 3\%. There was no significant difference in complication rate between the drain and the non-drain group (group A: 1.8\% vs 0; group B: 2.2\% vs 7.9\%, respectively). Conclusions: Significant seromas/hematomas are rare complications of LNDs. Patients who undergo LND for PTC without a drain show no significantly increased rate of these complications.",

keywords = "Drain, Neck dissection, Papillary, Thyroid cancer",

author = "Michal Mekel and Stephen, \{Antonia E.\} and Gaz, \{Randall D.\} and Randolph, \{Gregory W.\} and Sara Richer and Perry, \{Zvi H.\} and Lubitz, \{Carrie C.\} and Nehs, \{Matthew A.\} and Sareh Parangi and Hodin, \{Richard A.\}",

note = "Funding Information: Dr. Mekel is a recipient of fellowship grant from the American Physicians Fellowship for Medicine in Israel. Dr. Mekel is also supported in part by Rambam-Health Care Campus , Israel, the American Friends of Rambam, Israel Medical Association and the Israel Cancer Association . ",

year = "2010",

month = apr,

day = "1",

doi = "10.1016/j.amjsurg.2009.04.006",

language = "English",

volume = "199",

pages = "485--490",

journal = "American Journal of Surgery",

issn = "0002-9610",

publisher = "Elsevier Inc.",

number = "4",

}

TY - JOUR

T1 - Surgical drains can be safely avoided in lateral neck dissections for papillary thyroid cancer

AU - Mekel, Michal

AU - Stephen, Antonia E.

AU - Gaz, Randall D.

AU - Randolph, Gregory W.

AU - Richer, Sara

AU - Perry, Zvi H.

AU - Lubitz, Carrie C.

AU - Nehs, Matthew A.

AU - Parangi, Sareh

AU - Hodin, Richard A.

N1 - Funding Information: Dr. Mekel is a recipient of fellowship grant from the American Physicians Fellowship for Medicine in Israel. Dr. Mekel is also supported in part by Rambam-Health Care Campus , Israel, the American Friends of Rambam, Israel Medical Association and the Israel Cancer Association .

PY - 2010/4/1

Y1 - 2010/4/1

N2 - Background: Drains are widely used in lateral neck dissections (LNDs). Our objective was to compare outcomes of LNDs for papillary thyroid cancer (PTC) with and without drains. Methods: One hundred sixty-five LNDs in 129 patients operated on from July 2001 to October 2008 were analyzed retrospectively. LNDs were divided according to the number of excised lymph nodes as follows: group A < median and group B > median. Further categorization was based on the use of a drain. Main outcome measures were wound complications requiring intervention. Results: One hundred two LNDs were performed with a drain and 63 without. The overall rate of wound complications was 3%. There was no significant difference in complication rate between the drain and the non-drain group (group A: 1.8% vs 0; group B: 2.2% vs 7.9%, respectively). Conclusions: Significant seromas/hematomas are rare complications of LNDs. Patients who undergo LND for PTC without a drain show no significantly increased rate of these complications.

AB - Background: Drains are widely used in lateral neck dissections (LNDs). Our objective was to compare outcomes of LNDs for papillary thyroid cancer (PTC) with and without drains. Methods: One hundred sixty-five LNDs in 129 patients operated on from July 2001 to October 2008 were analyzed retrospectively. LNDs were divided according to the number of excised lymph nodes as follows: group A < median and group B > median. Further categorization was based on the use of a drain. Main outcome measures were wound complications requiring intervention. Results: One hundred two LNDs were performed with a drain and 63 without. The overall rate of wound complications was 3%. There was no significant difference in complication rate between the drain and the non-drain group (group A: 1.8% vs 0; group B: 2.2% vs 7.9%, respectively). Conclusions: Significant seromas/hematomas are rare complications of LNDs. Patients who undergo LND for PTC without a drain show no significantly increased rate of these complications.

KW - Drain

KW - Neck dissection

KW - Papillary

KW - Thyroid cancer

UR - https://www.scopus.com/pages/publications/77949905641

U2 - 10.1016/j.amjsurg.2009.04.006

DO - 10.1016/j.amjsurg.2009.04.006

M3 - Article

AN - SCOPUS:77949905641

SN - 0002-9610

VL - 199

SP - 485

EP - 490

JO - American Journal of Surgery

JF - American Journal of Surgery

IS - 4

ER -

Surgical drains can be safely avoided in lateral neck dissections for papillary thyroid cancer

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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