Same-day thyroidectomy program: Eligibility and safety evaluation

Section of Endocrine Surgery, Department of Surgery, University of Wisconsin, Madison, WI.
Surgery (Impact Factor: 3.38). 12/2012; 152(6):1133-41. DOI: 10.1016/j.surg.2012.08.033
Source: PubMed


Same-day thyroidectomy has not gained widespread acceptance owing to concerns of life-threatening complications. The aim of this study is to describe a single institution same-day thyroidectomy results.
We included patients who underwent thyroid surgery between 2005 and 2011 by a single surgeon. The outcomes of patients who underwent inpatient (IP) and same-day thyroidectomy were compared. Routine postoperative parathyroid hormone testing for same-day thyroidectomy commenced in 2010, and results were also compared after that date.
Thyroid surgery was performed in 608 patients; 298 (49%) were performed as same-day thyroidectomy. Patients undergoing same-day thyroid lobectomy had similar, low documented complication rate as IP lobectomy. Patients with same-day total thyroidectomy (SDTT) had similar rates of documented transient hypocalcemia and neck hematoma compared with IPs. After 2010, all patients without restrictive underlying comorbidities were scheduled for same-day thyroidectomy unless otherwise specifically requested by the patient. Only 4 (3%) patients scheduled for SDTT were converted to IPs, all without neck complications.
Same-day thyroidectomy is safe and can be routinely performed by experienced surgeons who have low complication rates and a patient support system.

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