Outpatient thyroidectomy: Experience in over 200 patients
- 21 April 2010
- journal article
- research article
- Published by Wiley in The Laryngoscope
- Vol. 120 (5), 959-963
- https://doi.org/10.1002/lary.20866
Abstract
Objectives/Hypothesis: Thyroidectomy has historically been performed on an inpatient basis out of fear of hemorrhage and transient but life-threatening hypocalcemia. An earlier favorable experience with outpatient surgery for a limited number of patients prompted our objective of an expanded evaluation of this practice. Study Design: Retrospective analysis of a prospectively populated database. Methods: A consecutive single-surgeon series of patients undergoing thyroidectomy in an academic otolaryngology department between February 2003 and November 2007, including 91 patients assessed in a previous report. Clinical variables including age, gender, type of surgery, indications, and complications were obtained and analyzed. Principal outcome measures were length of hospital stay, incidence of complications, and rate of readmission. Results: Four hundred eighteen patients underwent thyroid surgery during the study period. Two hundred eight were accomplished on an outpatient basis, 128 patients were observed under a 23-hour status, and 82 were admitted for a mean of 2.9 days (the latter two cohorts were grouped together and designated as inpatients). There were four complications in the outpatient group (1.9%) and 28 (13.3%) in the inpatient group (P < .001). Four individuals in the outpatient group (1.9%) required readmission compared with 5.7% (12/210) of those in the inpatient group, most commonly for transient hypocalcemia. Conclusions: The initial favorable experience with outpatient thyroid surgery has been validated in this expanded patient population of more than 200 patients. In rare instances, readmission may be required secondary to transient hypocalcemia. Modern surgical techniques, avoidance of drains, and prophylactic calcium supplementation have combined to make outpatient thyroidectomy safe in carefully selected patients. Laryngoscope, 2010Keywords
This publication has 17 references indexed in Scilit:
- Novel surgical maneuvers in modern thyroid surgeryOperative Techniques in Otolaryngology-Head and Neck Surgery, 2009
- Pre-incision local infiltration with levobupivacaine reduces pain and analgesic consumption after laparoscopic cholecystectomy: A new device for day-case procedureInternational Journal of Surgery, 2008
- Classification System for Minimally Invasive Thyroid SurgeryORL, 2008
- Day-case versus overnight stay in laparoscopic cholecystectomyPublished by Wiley ,2007
- AUSTRALIAN ENDOCRINE SURGEONS GUIDELINES AES06/01. POSTOPERATIVE PARATHYROID HORMONE MEASUREMENT AND EARLY DISCHARGE AFTER TOTAL THYROIDECTOMY: ANALYSIS OF AUSTRALIAN DATA AND MANAGEMENT RECOMMENDATIONSAnz Journal of Surgery, 2007
- Routine oral calcium and vitamin D supplements for prevention of hypocalcemia after total thyroidectomyThe American Journal of Surgery, 2006
- Thyroidectomy Using Local Anesthesia: A Report of 1,025 Cases over 16 YearsJournal of the American College of Surgeons, 2005
- Outpatient thyroid and parathyroid surgery: A prospective study of feasibility, safety, and costsSurgery, 1995
- Outpatient and short‐stay thyroid surgeryHead & Neck, 1991
- Outpatient thyroidectomy: A feasibility studyThe American Journal of Surgery, 1986