Outpatient and short‐stay thyroid surgery

摘要: With the realization that simple thyroid procedures had a very low rate of complication and patients often seemed well enough to go home from recovery room, we began performing them in an ambulatory surgery setting. We review here 134 consecutive performed at Columbia Presbyterian Medical Center between July 1987 1989. Patients undergoing reoperation, neck dissection, sternal splits, or other concomitant were excluded. There 105 women 29 men with average age 47 years. Fifty percent operations for benign disease, although most common diagnosis was papillary cancer (44%). Twenty-one (16%) under local anesthesia. Most underwent our unit 76 discharged day surgery. Of these patients, 21 total thyroidectomy, 13 subtotal 42 lobectomy. 58 who admitted, 53 on following The length stay 0.49 days. Extensive pre- postoperative teaching given regarding signs symptoms associated complications All felt be reliable capable understanding procedure complying plans. Postoperative included 8 (6%) transient hypocalcemia 1 patient (0.75%) permanent unilateral recurrent laryngeal nerve paralysis. occurred thyroidectomies. No requiring reoperation readmission. conclude by using specific selection criteria, lobectomies thyroidectomies can safely setting without increase morbidity mortality.