Introducing day case thyroid lobectomy at a tertiary head and neck centre
| Autor: | Z Sheikh, B Fish, V Lingamanaicker, P Jani, E Irune |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Adolescent Cost-Benefit Analysis Thyroid Lobectomy Patient Readmission Tertiary Care Centers Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Ambulatory care Humans Medicine Child 030223 otorhinolaryngology Head and neck Aged Retrospective Studies Aged 80 and over Hematoma business.industry Thyroid disease General surgery Thyroid General Medicine Middle Aged medicine.disease Thyroid Diseases Treatment Outcome medicine.anatomical_structure Ambulatory Surgical Procedures 030220 oncology & carcinogenesis Thyroidectomy Feasibility Studies Female Surgery Patient Safety business Postoperative haemorrhage |
| Zdroj: | The Annals of The Royal College of Surgeons of England. 103:499-503 |
| ISSN: | 1478-7083 0035-8843 |
| Popis: | Background Thyroid lobectomy is considered to be a safe day case procedure by the British Association of Day Surgery. However, currently only 5.5% of thyroid surgeries in the UK are undertaken as day cases. We determine if and how thyroid lobectomy with same-day discharge could safely be introduced in our centre. Methods We analysed all thyroid lobectomy surgeries performed between April 2015 and May 2019. Exclusion criteria included completion surgery, revision surgery, additional procedures and disseminated disease. Outcomes were benchmarked against surgeon-reported complications from the British Association of Endocrine and Thyroid Surgery’s 5th National Audit. Additionally, we reviewed the number of patients who met day case criteria currently in use at our hospital to determine accessibility to the service. Results In total, 259 thyroid lobectomy surgeries were undertaken and of these 173 met the inclusion criteria. There was no mortality, return to theatre for evacuation of postoperative haematoma or readmission. There was one postoperative haematoma which was drained at the bedside. Some 47 of the 173 (27.2%) patients met day case criteria currently in use at our centre. Conclusions Day case surgery provides a cost-effective solution to rising bed pressures and a coherent protocol can optimise patient safety and experience. |
| Databáze: | OpenAIRE |
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