무배액관 이하선 절제술의 실행 가능성과 유용성

Feasibility and Usefulness of No Drain Technique During Parotidectomy

  • 최효근 (서울대학교 의과대학 이비인후과학교실) ;
  • 김윤중 (서울대학교 의과대학 이비인후과학교실) ;
  • 박보나 (서울대학교 의과대학 이비인후과학교실) ;
  • 홍승노 (서울대학교 의과대학 이비인후과학교실) ;
  • 성명훈 (서울대학교 의과대학 이비인후과학교실) ;
  • 하정훈 (서울대학교 의과대학 이비인후과학교실)
  • Choi, Hyo Geun (Department of Otolaryngology-Head and Neck Surgery, Seoul National University College of Medicine) ;
  • Kim, Yoonjoong (Department of Otolaryngology-Head and Neck Surgery, Seoul National University College of Medicine) ;
  • Park, Pona (Department of Otolaryngology-Head and Neck Surgery, Seoul National University College of Medicine) ;
  • Hong, Seung No (Department of Otolaryngology-Head and Neck Surgery, Seoul National University College of Medicine) ;
  • Sung, Myung-Whun (Department of Otolaryngology-Head and Neck Surgery, Seoul National University College of Medicine) ;
  • Hah, J.Hun (Department of Otolaryngology-Head and Neck Surgery, Seoul National University College of Medicine)
  • 투고 : 2012.11.07
  • 심사 : 2012.11.14
  • 발행 : 2012.11.30

초록

Introduction : No drain technique during parotidectomy had been introduced to reduce postoperative morbidity and to minimize hospital stay in a few previous publications. Since the authors have applied this technique in select patients for several years, we wanted to evaluate the feasibility and usefulness of no drain parotidectomy. Material & Methods : We retrospectively reviewed the medical records of 96 patients who underwent superficial or total parotidectomy by one surgeon from May 2005 to July 2012. The decision on drain insertion was made by the operator at the end of the surgery. The patients were categorized as drain insertion group and no drain group. Results : The patients who have smaller tumors and benign lesions were more frequently chosen into no drain group. Hospital stay was shorter in no drain group than in drain insertion group. Although no drain group showed increased number of acute complications such as seroma and hematoma, the complications were mild and could be controlled easily at the outpatient clinic. Conclusion : No drain technique during parotidectomy could be done relatively safely in select patients and it could reduce hospital stay.

키워드

참고문헌

  1. Amir I, Morar P, Belloso A. Postoperative drainage in head and neck surgery. Annals of the Royal College of Surgeons of England. 2010;92:651-654. https://doi.org/10.1308/003588410X12699663904754
  2. Byers RM, Ballantyne AJ, Goepfert H, Guillamondegui OM, Larson DL, Medina J. Clinical effects of closed suction drainage on wound healing in patients with head and neck cancer. Arch Oto-laryngol. 1982;108:723-726.
  3. Marcinko DE, Hetico HR. Economic outcomes analysis from an ambulatory surgical center. The Journal of foot and ankle surgery: Official Publication of the American College of Foot and Ankle Surgeons. 1996;35:544-549. https://doi.org/10.1016/S1067-2516(96)80128-1
  4. Mofle PJ, Urquhart AC. Superficial parotidectomy am postoperative drainage. Clinical Medicine & Research. 2008;6:68-71. https://doi.org/10.3121/cmr.2008.787
  5. Conboy P, Brown DH. Use of tissue sealant for day surgery parotidectomy. Journal of Otolaryngology-Head & Neck Surgery 2008;37:208-211.
  6. Patel MJ, Garg R Rice DH. Benifits of fibrin sealants in parotidectomy: Is underflap suction drainage necessary? The Laryngoscope. 2006;116:1708-1709. https://doi.org/10.1097/01.mlg.0000231785.96955.c8
  7. Odell MJ, Durham JS. Parotid surgery in an outpatient setting: The Vancouver Hospital experience. The Journal of Otolaryngology. 2003;32:298-301. https://doi.org/10.2310/7070.2003.11273
  8. Steckler RM. Outpatient parotidectomy. American Journal of Surgery. 1991;162:303-305. https://doi.org/10.1016/0002-9610(91)90136-2
  9. Cheng D. Outpatient parotidectomy. Archives of Otolaryngology-Head & Neck Surgery. 1997;123:1021. https://doi.org/10.1001/archotol.1997.01900090137023
  10. Maharai M, Diamond C, Williams D, Seikaly H, Harris J. Tisseel to reduce postparotidectomy wound drainage: Randomized, prospective, controlled trial. Journal of Otolaryngology. 2006;35(1):36-39. https://doi.org/10.2310/7070.2005.4032