Zhou Jiayi, Li Xinying, Xia Fada, Su Duntao
Department of General Surgery, Xiangya Hospital, Central South University, Hunan Province, Changsha, 410008, China.
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
J Robot Surg. 2025 Aug 20;19(1):498. doi: 10.1007/s11701-025-02680-z.
With the rising incidence of thyroid cancer, there is an increasing focus on the cosmetic outcomes of thyroid surgery. This study introduces the use of a central venous catheter (CVC) tube as an innovative approach to enhance the aesthetic outcomes of drainage following transoral vestibular endoscopic thyroidectomy. A total of 104 patients were evenly assigned to either the conventional drainage tube group or the CVC tube group. All procedures were performed by the same experienced surgical team following identical operative protocols. The drainage devices were removed 48 h postoperatively, and all patients were discharged within this timeframe. Follow-up assessments were conducted at 1, 3, and 6 months postoperatively. Scar formation and patient satisfaction were evaluated using the SCAR, VAS, and Patient Scar Satisfaction (PSS) scores. The clinical and surgical characteristics of the two groups did not exhibit significant differences. The average age was 33.56 years in the conventional group compared to 36.83 years in the CVC group. The cervical effusion volume recorded in the CVC group (3.69 mL at 24 h and 2.46 mL at 48 h postoperatively) was similar to that observed in the conventional group (3.63 mL at 24 h and 2.31 mL at 48 h postoperatively), with no statistically significant variance. Furthermore, the rates of complications were comparable between the groups. Notably, the SCAR and VAS scores, which evaluate postoperative scarring, were significantly reduced in the CVC group (p < 0.01), suggesting enhanced cosmetic results. Additionally, patient satisfaction was markedly higher in the CVC group. Our data objectively demonstrate superior postoperative cosmesis and satisfaction following in CVC tube comparison with regular tube.
随着甲状腺癌发病率的上升，甲状腺手术的美容效果越来越受到关注。本研究介绍了使用中心静脉导管（CVC）管作为一种创新方法，以提高经口前庭内镜甲状腺切除术后引流的美学效果。总共104例患者被平均分配到传统引流管组或CVC管组。所有手术均由同一经验丰富的手术团队按照相同的手术方案进行。术后48小时取出引流装置，所有患者均在此时间段内出院。术后1、3和6个月进行随访评估。使用SCAR、VAS和患者疤痕满意度（PSS）评分评估疤痕形成和患者满意度。两组的临床和手术特征没有显著差异。传统组的平均年龄为33.56岁，而CVC组为36.83岁。CVC组记录的颈部积液量（术后24小时为3.69 mL，术后48小时为2.46 mL）与传统组观察到的积液量（术后24小时为3.63 mL，术后48小时为2.31 mL）相似，无统计学显著差异。此外，两组之间的并发症发生率相当。值得注意的是，评估术后疤痕的SCAR和VAS评分在CVC组显著降低（p < 0.01），表明美容效果得到改善。此外，CVC组患者的满意度明显更高。我们的数据客观地证明，与常规引流管相比，CVC管术后的美容效果和满意度更佳。
