Outpatient thyroidectomy: is it a safe and reasonable option?
| Autor: | Jonathan Fields, Earl S. Schuman, Crystal Hessman |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Outpatient surgery Young Adult Outpatients medicine Humans Young adult Aged Retrospective Studies Aged 80 and over Total thyroidectomy business.industry Thyroidectomy Retrospective cohort study General Medicine Middle Aged Ambulatory Surgical Procedure Thyroid Diseases Surgery Treatment Outcome Ambulatory Surgical Procedures Ambulatory Feasibility Studies Female Complication business Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 201:565-569 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2011.01.023 |
| Popis: | BACKGROUND: Outpatient surgery is cost effective and convenient. The aim of this study was to determine the safety and feasibility of outpatient thyroidectomy. METHODS: Retrospective review was performed of all thyroidectomy patients from a tertiary care center between January 2004 and March 2010. RESULTS: One hundred forty-eight patients met the inclusion criteria. Subtotal and hemithyroidectomies (n = 79) were compared against completion and total thyroidectomies (n = 72). Nine total thyroidectomy patients (12.5%) required unplanned overnight admission, compared with 4 hemithyroidectomy patients (5.1%) (P = .15). The majority were admitted for pain and nausea control. Overnight admissions were highest among men (32% vs 5%, P = .002) and patients with Graves' disease (36% vs 6%, P = .003). Postoperative complications occurred in 6 total thyroidectomy patients (8.3%) and 3 hemithyroidectomy patients (3.8%) (P = .31). Only 4 patients (2.6%) required readmission for complications. There were no deaths. CONCLUSIONS: Outpatient thyroidectomy performed by an experienced surgeon is safe and feasible. Men and patients with Graves' disease have a higher probability of requiring postoperative admission. |
| Databáze: | OpenAIRE |
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