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Outpatient thyroidectomy: is it a safe and reasonable option?

2011; Elsevier BV; Volume: 201; Issue: 5 Linguagem: Inglês

10.1016/j.amjsurg.2011.01.023

1879-1883

Crystal J. Hessman, Jonathan Fields, Earl Schuman,

Thyroid Cancer Diagnosis and Treatment

Abstract 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.