How to perform a thyroidectomy in an outpatient setting

Champault, Axèle; Vons, C.; Zilberman, Sonia; Labaille, T.; Brosseau, Solen; Franco, Dominique

doi:10.1007/s00423-009-0527-3

Cited by 38 publications

(52 citation statements)

References 17 publications

(19 reference statements)

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“…9 The absence of a drain, however, reduces patient discomfort, pain, length of stay in hospital and risk of infection. 10 There are few specific data available in the literature to identify the safety of thyroidectomy combined with CND without a drain, and our study has added evaluation of concurrent lymph node dissection.…”

Section: Discussionmentioning

confidence: 99%

Safety of thyroidectomy and cervical neck dissection without drains

et al. 2012

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Background: Many studies have reported that drainage after thyroidectomy does not decrease the rate of local postoperative complications. We sought to review the safety of thyroidectomy combined with cervical neck dissection (CND) without drainage. Methods:The medical records of consecutive patients who underwent thyroidectomy without drainage were retrospectively reviewed. Two groups were defined depending on whether CND was or was not performed. The main outcome was identification of patients with cervical bleeding, hematoma or seroma. Results:We included 1127 patients (139 who had CND and 988 who did not). Of these, 207 patients (18%) had transient postoperative hypocalcemia, 9 (0.8%) had permanent postoperative hypoparathyroidism, 56 (5%) had transient postoperative hoarseness and 7 (0.6%) had permanent vocal cord paralysis. A total of 44 patients (4%) experienced postoperative hematoma and/or seroma: 8 patients (6%) who had CND and 36 (4%) who did not. There was no major bleeding in the 2 groups; all patients had minor bleeding or seroma not requiring surgical intervention. The postoperative stay in hospital for both groups was 1 day in 92% of patients. Wound infection occurred in 0.8% of all patients: 1 (0.7%) who had CND and 8 (0.8%) who did not. There was no significant difference between the groups in overall perioperative complications or in time of hospital discharge. Conclusion:Thyroidectomy without drains is safe and effective, even in combination with CND.

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Section: Discussionmentioning

confidence: 99%

Safety of thyroidectomy and cervical neck dissection without drains

et al. 2012

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“…Five studies (6,15,17,19,21) comprising 1,717 cases identified the proportion of outpatients with a transient RLN injury and reported results ranged from 0-4% (6,15). Only one study by Snyder et al (6) reported on inpatient and outpatient results (Figure 3).…”

Section: Transient Recurrent Laryngeal Nerve (Rln) Injurymentioning

confidence: 99%

“…Ten studies comprising 2,505 cases reported on permanent RLN injury in OPS cases (5,6,8,13,15,(17)(18)(19)21), with rates ranging from 0-2% (13,18,19). There were 11 reported cases (0.4%) of vocal cord paralysis.…”

Section: Permanent Rln Injurymentioning

confidence: 99%

“…There were eight studies that reported on transient hypocalcemia in OPS cases (5,6,8,13,15,17,19,21) (2,455 cases) with a reported incidence from 1-21% (6,19).…”

Section: Hypocalcemiamentioning

confidence: 99%

“…Thirteen studies (3,5,6,8,12,13,(15)(16)(17)(18)(19)(20)(21) reported on the rate of hematoma formation which ranged from 0-2% (3,5,6,12,15,16,20,21). A meta-analysis of 2,760 outpatients was performed and there were 8 total cases of hematoma formation (0.02%).…”

Section: Hematomamentioning

confidence: 99%

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