Submandibular sialoadenectomy with local anesthesia in the era of minimally invasive surgery

Chow, Tam‐Lin; Chan, Terrence; Choi, Chi‐Yee; Lam, Siu‐Ho

doi:10.1016/j.otohns.2008.03.026

Cited by 10 publications

(6 citation statements)

References 16 publications

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“…These include total unawareness of the procedure and immobile operative field for the surgeon . Over the past three decades, there has been a resurgence in thyroidectomies performed under LA . It is easier to administer, more economical and can avoid the side‐effects of GA .…”

Section: Discussionmentioning

confidence: 99%

“…Many thyroid surgeries are now performed under GA. 5,6 Because its administration has become safer, it has been utilized in patients with comorbidities. 3 The advantages of GA are well known. These include total unawareness of the procedure and immobile operative field for the surgeon.…”

Section: Discussionmentioning

confidence: 99%

“…2 Over the past three decades, there has been a resurgence in thyroidectomies performed under LA. 3 It is easier to administer, more economical and can avoid the side-effects of GA. 7 The basic objective of our study was to analyse the feasibility and outcome of this approach, and to look for any potential benefits.…”

Section: Discussionmentioning

confidence: 99%

“…In Hong Kong, thyroidectomy is usually performed under GA. Our institution has explored the feasibility of performing major head and neck operations under LA. We are convinced that parotidectomy and submandibular sialoadenectomy could be done under LA with the benefits of shorter hospital stay and facilitating day surgery . We herein report our results of hemithyroidectomy performed under LA or GA in our unit.…”

Section: Introductionmentioning

confidence: 89%

“…We are convinced that parotidectomy and submandibular sialoadenectomy could be done under LA with the benefits of shorter hospital stay and facilitating day surgery. 3,4 We herein report our results of hemithyroidectomy performed under LA or GA in our unit. Patient characteristics, operative time, amount of blood loss, length of hospital stay and complications were analysed to see if there is any advantage of LA with regard to length of hospital stay, operative time and utilization of day surgery.…”

Section: Introductionmentioning

confidence: 99%

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Hemithyroidectomy using local or general anaesthesia: Results of a local regional hospital

et al. 2017

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Aim Thyroidectomy is commonly performed for benign and malignant diseases of the thyroid gland. We report our results of performing hemithyroidectomy under local anaesthesia (LA) or general anaesthesia (GA) in a local tertiary hospital. Patients and Methods Patients’ demographic data, operative time, length of hospital stay and complications were recorded. Multiple regression analyses were used to assess the risk‐adjusted endpoints. The mean follow up was 12.6 months. Results From January 2010 to December 2014, 279 patients underwent hemithyroidectomy, of which 229 (82 per cent) were under GA. The mean age was 50.0 ± 14.6 years, and 238 (85 per cent) patients were female. In the univariate analysis, GA was associated with a longer operative time (99.3 vs 75.4 min, P = 0.011) and a longer hospital day (2.3 vs 1.4 days, P < 0.001). After adjusting for other covariates with multiple regression analyses, GA was still associated with a longer operative time by 16.1 min (P = 0.006) and a longer hospital stay by 1.15 days (P < 0.001). It had a higher complication rate (odds ratio = 3.26, P = 0.181), albeit not statistically significant. Conclusions Hemithyroidectomy under LA is associated with a shorter operative time and hospital stay, and is a safe and viable alternative to GA in selected patients.

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Section: Discussionmentioning

confidence: 99%