Objective To compare and analyze the therapeutic effects of open,laparoscopic and interven-tional treatments for refractory lymphatic leakage after radical neck dissection in thyroid cancer,and the feasibility of interventional treatment for refractory lymphatic leakage.Methods Totally 41 patients with refractory lymphat-ic leakage after radical neck dissection in thyroid cancer at thyroid surgery department of First Affiliated Hospital of Zhengzhou University from Jan.2018 to Dec.2023 were retrospectively enrolled.They were divided into open sur-gery group(n=18),interventional surgery(n=14),and laparoscopic surgery group(n=9)based on surgical meth-ods.The drainage volume,extubation time,hospital stay,and cost on the 1st,3rd,and 5th day after surgery were re-corded.Inter group comparison was conducted using analysis of variance and independent sample Kruskal-Wallis test.The effects of different groups on incurable lymphatic leakage after radical neck dissection in thyroid cancer were compared and analyzed.Results The treatment of refractory lymphatic leakage after radical neck dissection in thyroid cancer using open,endoscopic,and interventional methods all improved.On the 1st,3rd and 5th day af-ter surgery,the drainage volumes were(96.67±46.40)mL,(64.44±30.46)mL,(72.86±57.70)mL,P=0.197,(43.89±25.70)mL,(33.33±12.25)mL,(39.29±36.68)mL,P=0.653,and(22.50±19.42)mL,(16.67±15.61)mL,(20.00±27.39)mL,P=0.806,respectively,and the differences were not statistically significant.The cost of open surgery was lower than that of the other groups(0.33±0.75 vs 0.56±0.70,0.76±0.84,F=1 26.245,P＜0.01)and post-operative hospital stay for interventional surgery was lower than the other groups[(2.36±0.50)d vs(4.67±1.14)d,(4.56±1.13)d,P＜0.01].Conclusion Interventional therapy could be used to treat incurable lymphatic leakage af-ter radical neck dissection in thyroid cancer.
Thyroid papillary carcinomaCervical lymph node dissectionLymphatic leakageInter-ventional surgery
NETL
NSTL
万方数据
