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Cervical neck dissection without drainage in papillary thyroid carcinoma

Published online by Cambridge University Press:  04 February 2013

B Abboud ,
J Tannoury ,
G Sleilaty ,
R Daher ,
G Abadjian  and
C Ghorra
B Abboud*
Affiliation:
Department of General Surgery, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
J Tannoury
Affiliation:
Department of General Surgery, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
G Sleilaty
Affiliation:
Department of General Surgery, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
R Daher
Affiliation:
Department of General Surgery, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
G Abadjian
Affiliation:
Department of Pathology, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
C Ghorra
Affiliation:
Department of Pathology, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
*
Address for correspondence: Dr Bassam Abboud, Department of General Surgery, Hotel Dieu de France Hospital, Alfred Naccache St, Beirut, Lebanon Fax: +961 1 615295 E-mail: dbabboud@yahoo.fr
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Abstract

Objective:

To review the safety of thyroidectomy combined with cervical neck dissection without drainage, in patients with papillary thyroid carcinoma.

Materials and methods:

Two groups were defined depending on whether cervical neck dissection was or was not performed (groups one and two, respectively).

Results:

Group one included 153 patients with central neck dissection and 52 patients with central and lateral neck dissection. Group two included 121 patients. Post-operative drainage was not used in either group. Overall, 17 patients (5 per cent) developed post-operative haematoma and/or seroma: 12 patients (6 per cent) in group one and 5 patients (4 per cent) in group two. There were no major bleeding episodes; only minor bleeding or seroma was encountered, not requiring surgical intervention. Overall, 91 per cent of patients had a post-operative stay of 1 day. The number of peri-operative local complications and length of stay did not differ significantly between the two groups.

Conclusion:

Thyroidectomy plus cervical neck dissection without drainage is safe and effective in the treatment of papillary thyroid carcinoma.

Keywords

Neck DissectionThyroid CancerPapillaryDrainageSuctionHematomaSeroma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 3 , March 2013 , pp. 299 - 302
Copyright
Copyright © JLO (1984) Limited 2013

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