Application of anti-adhesion film in robotic thyroid cancer surgery alleviates postoperative soft tissue adhesion and swallowing discomfort

Ling ZHONG; Ye ZHANG; Junze DU; Xiang CUI; Lingjuan ZENG; Yi ZHANG; Jun JIANG; Linjun FAN

doi:10.16016/j.1000-5404.202003162

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Application of anti-adhesion film in robotic thyroid cancer surgery alleviates postoperative soft tissue adhesion and swallowing discomfort

Clinical Medicine | 更新时间：2026-01-09

- Application of anti-adhesion film in robotic thyroid cancer surgery alleviates postoperative soft tissue adhesion and swallowing discomfort
- Journal of Third Military Medical University Vol. 42, Issue 12, Pages: 1209-1214(2020)
- 作者机构：
  
  400038 重庆, 陆军军医大学(第三军医大学)第一附属医院乳腺甲状腺外科
- 作者简介：
- 基金信息：
  
  the Special Project of Technology Innovation and Application Development Program of Chongqing(CSCT2019jscx-msxmX0284)
- DOI：10.16016/j.1000-5404.202003162
  CLC： R181.32;R608;R736.1
- Received：13 March 2020，
  
  Revised：2020-04-08，
  
  Published：30 June 2020
- 稿件说明：
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Ling ZHONG, Ye ZHANG, Junze DU, et al. Application of anti-adhesion film in robotic thyroid cancer surgery alleviates postoperative soft tissue adhesion and swallowing discomfort[J]. Journal of Third Military Medical University, 2020, 42(12): 1209-1214.
DOI：

Ling ZHONG, Ye ZHANG, Junze DU, et al. Application of anti-adhesion film in robotic thyroid cancer surgery alleviates postoperative soft tissue adhesion and swallowing discomfort[J]. Journal of Third Military Medical University, 2020, 42(12): 1209-1214. DOI： 10.16016/j.1000-5404.202003162.

摘要

目的

探讨防粘膜在机器人甲状腺癌手术中的防粘连效果。

方法

回顾性分析本院2016年1月至2018年12月接受达芬奇机器人甲状腺癌手术患者452例的临床资料及治疗效果

其中试验组228例在完成甲状腺切除以及淋巴结清扫后将防粘膜(可吸收医用膜)放置在气管前方后缝合颈白线。对照组224例除未使用防粘膜外其他操作与试验组相同。

结果

试验组吞咽不适状况评分在术后3、6个月均明显低于对照组。亚组分析结果显示

单侧甲状腺切除患者术后3、6、12个月其吞咽不适的评分两组间差异均无统计学意义(

0.05)。甲状腺全切患者试验组与对照组的吞咽不适评分在术后3个月(

=0.00)、6个月(

=0.001)均明显低于对照组; 试验组与对照组吞咽不适发生率(轻度+较重)在术后3个月(

=0.004)、6个月(

=0.006)差异均有统计学意义

使用防粘膜后吞咽不适发生率均明显低于对照组。两组术后声音嘶哑和甲状旁腺功能减退发生率、引流量以及住院时间等方面差异均无统计学意义(

0.05)。

结论

机器人甲状腺全切患者术中使用可吸收医用膜能有效减轻颈部软组织粘连

改善术后吞咽不适

提高患者术后生活质量。

Abstract

Objective

To investigate the anti-adhesion effect of anti-adhesion film in robotic thyroid cancer surgery.

Methods

We retrospectively analyzed the clinical data and treatment outcomes of 452 patients who underwent Da Vinci robotic surgery for thyroid cancer between January

2016 and December

2018.In 228 of the patients

anti-adhesion film (absorbable medical film) was placed on the trachea before thyroid resection and dissection of the lymph nodes (test group); the other 224 patients underwent identical surgical procedures but without the use of the anti-adhesion film (control group).

Results

The scores for swallowing discomfort were significantly lower in the test group than in the control group at 3 and 6 months after the operation.Subgroup analysis showed that in the patients receiving unilateral thyroidectomy

the scores for swallowing discomfort did not differ significantly between the 2 groups at 3

and 12 months postoperatively.In patients receiving total thyroidectomy

the scores

were significantly lower in the test group than in the control group at 3 months (

=0.00) and 6 months (

=0.001)

and the incidence of swallowing discomfort (either mild or severe) was also significantly lower in the test group at 3 months (74.6% vs 83.6%

=0.004) and 6 months (24.2% vs 40.9%

=0.006) after the operation.No significant differences were found in the incidences of postoperative hoarseness and hypoparathyroidism

drainage volume

or the length of hospital stay between the 2 groups.

Conclusion

The use of absorbable medical film during robotic total thyroidectomy for thyroid cancer can effectively reduce neck soft tissue adhesion

lower the incidence of postoperative swallowing discomfort

and improve postoperative quality of life of the patients.

关键词

Keywords

references

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