Department of ENT, James Cook University Hospital, Middlesbrough, UK.
J Laryngol Otol. 2023 May;137(5):556-559. doi: 10.1017/S0022215122001256. Epub 2022 May 26.
To study the safety and efficacy of Artiss fibrin sealant in lateral neck dissection, focusing on drain retention time, length of hospital stay and post-operative complications.
A retrospective review was conducted of patients who underwent neck dissection in a UK hospital over a 12-month period.
Twenty-three patients were identified; 13 patients had Artiss and a drain, 10 patients had Artiss only. All drains were removed by post-operative day 2. No post-operative fluid collections or complications were recorded. Patients who had Artiss only without a drain were discharged on post-operative day 1.
The use of Artiss reduced the drain retention time and hospital stay, with no post-operative complications. Neck dissection can be safely undertaken with no drain, and can potentially be carried out as a day-case procedure, with the application of Artiss. These findings benefit patients and the National Health Service by improving the patient journey and reducing overall costs.
研究 Artiss 纤维蛋白密封剂在颈侧清扫术中的安全性和有效性，重点关注引流管留置时间、住院时间和术后并发症。
对在英国一家医院接受颈侧清扫术的患者进行了为期 12 个月的回顾性研究。
共确定了 23 例患者；13 例患者使用了 Artiss 和引流管，10 例患者仅使用了 Artiss。所有引流管均在术后第 2 天拔除。没有记录到术后积液或并发症。没有引流管的仅使用 Artiss 的患者在术后第 1 天出院。
使用 Artiss 减少了引流管留置时间和住院时间，且没有术后并发症。颈侧清扫术可以安全地进行，无需引流管，并且可以应用 Artiss 将其作为日间手术进行，这可以使患者和国家医疗服务体系受益，改善患者的就医体验并降低总体成本。
