Department of Ear, Nose and Throat, James Cook University Hospital, Middlesbrough, United Kingdom.
Head Neck. 2024 May;46(5):1146-1151. doi: 10.1002/hed.27715. Epub 2024 Mar 11.
Lateral neck dissection (LND) is performed for staging/treatment of head and neck lesions. This traditionally includes placement of a drain and inpatient admission. Drainless, day-case head and neck surgery is attractive due to cost-effectiveness and reduced length of stay, but evidence is lacking in LND. We aim to investigate Artiss™ as an alternative to drain placement, facilitating day-case LND.
A prospective review was conducted of patients who underwent LND in a UK hospital over a 22-month period.
Thirty-nine patients were identified (27 Artiss™ only; 12 Artiss™ with a drain). Eight Artiss™ only patients were day-case. All drains were removed by post-operative day 2. There was no statistically significant difference in the number of complications between the two groups.
This observational study demonstrates that for selected patients, Artiss™ could facilitate drainless, day-case LND. Further controlled studies with matched groups and larger numbers are required to validate this.
颈侧区清扫术（LND）用于头颈部病变的分期/治疗。该手术传统上包括放置引流管和住院治疗。无引流、日间手术的头颈部手术因其具有成本效益和缩短住院时间而具有吸引力，但 LND 方面缺乏相关证据。我们旨在研究 Artiss™ 作为放置引流管的替代方法，以促进日间 LND。
对英国某医院在 22 个月期间进行 LND 的患者进行前瞻性回顾。
共确定了 39 例患者（仅使用 Artiss™ 27 例；Artiss™ 联合引流管 12 例）。仅使用 Artiss™ 的 8 例患者为日间手术。所有引流管均在术后第 2 天取出。两组并发症的数量无统计学差异。
这项观察性研究表明，对于某些特定患者，Artiss™ 可促进无引流、日间手术 LND。需要进一步开展有对照组和更大样本量的对照研究来验证这一结果。
