Ambulatory Endocrine Surgery

Memeh, Kelvin; Angelos, Peter

doi:10.1007/978-3-030-73951-5_20

Cited by 1 publication

(1 citation statement)

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“…2 Previously, a 10.7% morbidity rate was reported after thyroidectomy but, according to Lombardi et al, the mortality rate has gone down to essentially 0% and morbidity rates have declined to 3%; 5 whereas the mortality rate after thyroid lobectomy according to British association of endocrine and thyroid surgeons (BAETS) is 0.2%, majorly secondary to hematoma. 7 In a US-based study, the rate of postoperative hematoma after thyroid surgery was 1 to 2.3% 8,9 Similar assertions have been made across the literature to ensure and promote day care surgeries as a viable option. 10,11 Traditionally, thyroidectomy, unilateral or bilateral, is considered an inpatient surgery.…”

Section: Introductionmentioning

confidence: 65%

Unilateral Thyroid Lobectomy as Day Care Procedure: A Cross Sectional Study with Literature Review on the Safety and Cost Effectiveness

Mughal¹,

Vardag²,

Deewani³

et al. 2023

Int Arch Otorhinolaryngol

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Introduction Thyroid nodules are common globally in almost one fifth of the adult population. The gold standard treatment for thyroid nodule is thyroid lobectomy or total thyroidectomy depending upon the diagnosis. Thyroidectomy has a few known complications but, as per the ATA consensus statement, it is a safe surgery to be done as a day care procedure. Objective To access the feasibility and safety of thyroid lobectomy as a day care surgery and its effect on decreasing overall financial burdens. Methods This retrospective chart review was done from 2006 to 2022. A total of 736 patients underwent thyroid lobectomy among which only 56 were done as day care surgery. Data analysis was done using the IBM SPSS Statistics for Windows, Version 23.0 (IBM Corp., Armonk, NY, USA). Results A total of 40% of the population was male. The mean age of the study population was 42 years. Bethesda II was the most encountered diagnosis, with a rate of 69%. The majority of patients were discharged after 6 hours of postoperative observation. The only complication encountered was seroma, which was seen in two patients. Conclusion Thyroid lobectomy appears to be a safe procedure with a drastic difference in overall cost as a day care procedure. We recommend switching the practice of inpatient thyroid lobectomy to a day care procedure in carefully selected candidates. The major hurdle in day care lobectomy can be approval from insurance.

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