Hemodynamic Instability during Thyroidectomy in Graves’ Disease

Açar, Sami; Erçetin, Candaş; Şahbaz, Nuri Alper; Tutal, Fırat; Yapalak, Yunus; Coşan, Fulya; Erbil, Yeşim

doi:10.1080/08941939.2021.1914785

Cited by 1 publication

(1 citation statement)

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“…One study showed that hemodynamic instability during thyroidectomy in Graves' was associated with shorter duration of ATD usage and larger thyroid glands. 24 We found that intraoperative instability was associated with higher preoperative fT4 levels, but not with thyroid size or duration of ATD usage.…”

Section: Discussionmentioning

confidence: 55%

Complications related to thyroidectomy among patients with hyperthyroidism: Exploring the potential for ambulatory surgery

Zhang,

Ow,

Lin

et al. 2024

Head & Neck

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BackgroundTotal thyroidectomy for hyperthyroidism is typically followed by overnight admission to monitor for complications including thyrotoxicosis. Outpatient thyroid surgery is increasingly common, but its safety in patients with hyperthyroidism has not been well studied.MethodsThis retrospective study reviewed 183 patients with hyperthyroidism who underwent total thyroidectomy from 2015 to 2022 at one urban, academic center. The main outcomes were rates of thyroid storm, surgical complications, and 30‐day ED visits and readmissions.ResultsAmong 183 patients with hyperthyroidism (mean age, 45 ± 14.5 years; 82.5% female), there were no cases of thyroid storm and complications included recurrent laryngeal nerve (RLN) palsy (7.0%), symptomatic hypocalcemia (4.4%), and hematoma (1.6%). ED visits were present in 1.1% and no patients were readmitted.ConclusionTotal thyroidectomy was not associated with thyroid storm and <6% of patients required inpatient management. Ambulatory total thyroidectomy for hyperthyroidism warrants further consideration through identification of predictive factors for postoperative complications.

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Section: Discussionmentioning

confidence: 55%