Thyroidectomy Using Monitored Local or Conventional General Anesthesia: An Analysis of Outpatient Surgery, Outcome and Cost in 1,194 Consecutive Cases

Abstract

These data from a large, unselected group of thyroidectomy patients suggest LA results in similar outcomes and morbidity rates to GA. It is likely that associated LA costs are lower.

One-Day Thyroid Surgery: Retrospective Analysis of Safety and Patient Satisfaction on a Consecutive Series of 1,571 Cases over a Three-Year Period

“…According to another series reported in the literature [2] , we did not register such a high percentage of delayed hemorrhage in either this ODTS series or even in our larger (nearly 2,500 per year) number of patients undergoing thyroidectomy with standard hospitalization of 2-3 days. Probably systematic use of vacuum drains, avoidance of tight closure of the midline (early superficialization of the blood), and close observation of the patient might explain a lower rate of just neglected and not delayed bleedings in the thyroid bed.…”

“…1 Rate was calculated on number (1,119) of total thyroidectomies only. 2 Over the strap muscles (shown by ultrasound). 3 Intraoperative tracheal lesion.…”

“…24 h recovery) has been described by previous authors as a safe and costeffective procedure [2][3][4][5][6][7] . Although this practice is well known, especially in the USA, is still uncommon in Europe, where some concern is expressed about potentially lethal complications such as hemorrhage, respiratory distress after bilateral vocal cord paralysis, or severe hypocalcemia [8] .…”

Patterns, timing and consequences of post-thyroidectomy haemorrhage

“…[9][10][11][12][13][14][15][16][17][18][19][20][21] In the UK, the British Association of Day Surgery included thyroidectomy as a potential day-case procedure in 2001 but the 2011 consensus statement of the British Association of Endocrine and Thyroid Surgeons (BAETS) was more cautious, recommending that thyroidectomy should be a 'day-and-stay' procedure with a minimum length of stay of 23 hours. 22 This study examined the pattern and timing of post-thyroidectomy haemorrhage in a large interdisciplinary district hospital to identify potential risk factors for this complication as well as the extent to which its impact on preventing short stay thyroid surgery may be mitigated.…”

Early discharge after total thyroidectomy: a retrospective feasibility study

“…Thyroid surgery was no exception. In Italy thyroid surgery is performed on an inpatient basis, mostly consisting in short admissions in week surgery departments with discharge to 48-72 hours after surgery, but several were the contributions in the literature in favour of an early discharge surgery (3)(4)(5)(6)(7), and some recommend at least an overnight stay (8,9). In the United States for years outpatient surgery with discharge on the same day of surgery has had a broad appeal and the rate of thyroid surgical procedures on an outpatient basis over the past 10 years has risen to 39% (10), thanks to the use of outstanding centers.…”