American Thyroid Association Statement on Outpatient Thyroidectomy
Top Cited Papers
- 1 October 2013
- journal article
- practice guideline
- Published by Mary Ann Liebert Inc in Thyroid®
- Vol. 23 (10), 1193-1202
- https://doi.org/10.1089/thy.2013.0049
Abstract
Background: The primary goals of this interdisciplinary consensus statement are to define the eligibility criteria for outpatient thyroidectomy and to explore preoperative, intraoperative, and postoperative factors that should be considered in order to optimize the safe and efficient performance of ambulatory surgery. Summary: A series of criteria was developed that may represent relative contraindications to outpatient thyroidectomy, and these fell into the following broad categories: clinical, social, and procedural issues. Intraoperative factors that bear consideration are enumerated, and include choice of anesthesia, use of nerve monitoring, hemostasis, management of the parathyroid glands, wound closure, and extubation. Importantly, postoperative factors are described at length, including suggested discharge criteria and recognition of complications, especially bleeding, airway distress, and hypocalcemia. Conclusions: Outpatient thyroidectomy may be undertaken safely in a carefully selected patient population provided that certain precautionary measures are taken to maximize communication and minimize the likelihood of complications.Keywords
This publication has 60 references indexed in Scilit:
- How to perform a thyroidectomy in an outpatient settingLangenbecks Archiv für Chirurgie, 2009
- Safety of Same Day Discharge in Patients Undergoing Sutureless Thyroidectomy: A Comparison of Local and General AnesthesiaThyroid®, 2008
- Outpatient thyroid surgery is safe and desirableOtolaryngology -- Head and Neck Surgery, 2007
- Thyroidectomy Using Monitored Local or Conventional General Anesthesia: An Analysis of Outpatient Surgery, Outcome and Cost in 1,194 Consecutive CasesWorld Journal of Surgery, 2006
- Local Anesthesia With Monitored Anesthesia Care vs General Anesthesia in ThyroidectomyArchives of Surgery, 2006
- Outpatient Laparoscopic Gastric Banding: Initial ExperienceObesity Surgery, 2004
- Outpatient Total Laparoscopic HysterectomyThe Journal of the American Association of Gynecologic Laparoscopists, 2003
- Laparoscopic Cholecystectomy as an Outpatient ProcedureJournal of the American College of Surgeons, 1997
- Outpatient Parotidectomy at the Fallon Clinic: The First 2 YearsJAMA Otolaryngology–Head & Neck Surgery, 1996
- Efficacy of tonsillectomy and adenoidectomy as an outpatient procedure: a preliminary reportInternational Journal of Pediatric Otorhinolaryngology, 1987