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Same-Day Versus Overnight Inpatient Surgery for Total Thyroidectomy

  • Abbas Al-Kurd
  • Haggi Mazeh
Chapter
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY)

Abstract

Outpatient surgery has gained popularity in recent years, and many procedures that once required prolonged hospitalization are now being performed in a same-day, ambulatory fashion. In spite of patient comfort and cost benefits associated with same-day surgery, the performance of thyroidectomies with same-day discharge has been met with some reservations, namely due to the possible complications that are uniquely inherent to this procedure. These include postoperative hematomas, recurrent laryngeal nerve injury, and hypocalcemia. Those who oppose same-day thyroid surgery claim that the possibility of these complications precludes the safety of this procedure. In this chapter, the authors review the available literature concerning same-day total thyroidectomy. Literature comparing this approach to traditional overnight inpatient surgery is also evaluated and Authors’ recommendations regarding same-day thyroidectomy are outlined.

Keywords

Total thyroidectomy Same-day Ambulatory Outpatient Safety Complications 

References

  1. 1.
    Mazeh H, Khan Q, Schneider DF, Schaefer S, Sippel RS, Chen H. Same-day thyroidectomy program: eligibility and safety evaluation. Surgery. 2012;152(6):1133–41.CrossRefPubMedGoogle Scholar
  2. 2.
    Gurusamy KS, Junnarkar S, Farouk M, Davidson BR. Day-case versus overnight stay for laparoscopic cholecystectomy. Cochrane Database Syst Rev. 2008;3:CD006798.Google Scholar
  3. 3.
    Seybt MW, Terris DJ. Outpatient thyroidectomy: experience in over 200 patients. Laryngoscope. 2010;120(5):959–63.PubMedGoogle Scholar
  4. 4.
    Steckler RM. Outpatient thyroidectomy: a feasibility study. Am J Surg. 1986;152(4):417–9.CrossRefPubMedGoogle Scholar
  5. 5.
    Lo Gerfo P, Gates R, Gazetas P. Outpatient and short-stay thyroid surgery. Head Neck. 1991;13(2):97–101.CrossRefPubMedGoogle Scholar
  6. 6.
    Mowschenson PM, Hodin RA. Outpatient thyroid and parathyroid surgery: a prospective study of feasibility, safety, and costs. Surgery. 1995;118(6):1051–3. Discussion 3-4.CrossRefPubMedGoogle Scholar
  7. 7.
    Samson PS, Reyes FR, Saludares WN, Angeles RP, Francisco RA, EER T Jr. Outpatient thyroidectomy. Am J Surg. 1997;173(6):499–503.CrossRefPubMedGoogle Scholar
  8. 8.
    Terris DJ, Snyder S, Carneiro-Pla D, Inabnet WB 3rd, Kandil E, Orloff L, et al. American Thyroid Association statement on outpatient thyroidectomy. Thyroid. 2013;23(10):1193–202.CrossRefPubMedGoogle Scholar
  9. 9.
    Doran HE, Palazzo F. Ambulatory thyroid surgery: do the risks overcome the benefits? Presse Med. 2014;43(3):291–6.CrossRefPubMedGoogle Scholar
  10. 10.
    Steurer M, Passler C, Denk DM, Schneider B, Niederle B, Bigenzahn W. Advantages of recurrent laryngeal nerve identification in thyroidectomy and parathyroidectomy and the importance of preoperative and postoperative laryngoscopic examination in more than 1000 nerves at risk. Laryngoscope. 2002;112(1):124–33.CrossRefPubMedGoogle Scholar
  11. 11.
    Enomoto K, Uchino S, Watanabe S, Enomoto Y, Noguchi S. Recurrent laryngeal nerve palsy during surgery for benign thyroid diseases: risk factors and outcome analysis. Surgery. 2014;155(3):522–8.CrossRefPubMedGoogle Scholar
  12. 12.
    Chiang FY, Wang LF, Huang YF, Lee KW, Kuo WR. Recurrent laryngeal nerve palsy after thyroidectomy with routine identification of the recurrent laryngeal nerve. Surgery. 2005;137(3):342–7.CrossRefPubMedGoogle Scholar
  13. 13.
    Chan WF, Lang BH, Lo CY. The role of intraoperative neuromonitoring of recurrent laryngeal nerve during thyroidectomy: a comparative study on 1000 nerves at risk. Surgery. 2006;140(6):866–72. Discussion 72-3.CrossRefPubMedGoogle Scholar
  14. 14.
    Lo CY, Kwok KF, Yuen PW. A prospective evaluation of recurrent laryngeal nerve paralysis during thyroidectomy. Arch Surg. 2000;135(2):204–7.CrossRefPubMedGoogle Scholar
  15. 15.
    Bergenfelz A, Jansson S, Kristoffersson A, Martensson H, Reihner E, Wallin G, et al. Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients. Langenbeck’s Arch Surg. 2008;393(5):667–73.CrossRefGoogle Scholar
  16. 16.
    Grodski S, Lundgren CI, Sidhu S, Sywak M, Delbridge L. Postoperative PTH measurement facilitates day 1 discharge after total thyroidectomy. Clin Endocrinol. 2009;70(2):322–5.CrossRefGoogle Scholar
  17. 17.
    Youngwirth L, Benavidez J, Sippel R, Chen H. Postoperative parathyroid hormone testing decreases symptomatic hypocalcemia and associated emergency room visits after total thyroidectomy. Surgery. 2010;148(4):841–4. Discussion 4-6.CrossRefPubMedGoogle Scholar
  18. 18.
    Houlton JJ, Pechter W, Steward DL. PACU PTH facilitates safe outpatient total thyroidectomy. Otolaryngol Head Neck Surg. 2011;144(1):43–7.CrossRefPubMedGoogle Scholar
  19. 19.
    Snyder SK, Hamid KS, Roberson CR, Rai SS, Bossen AC, Luh JH, et al. Outpatient thyroidectomy is safe and reasonable: experience with more than 1,000 planned outpatient procedures. J Am Coll Surg. 2010;210(5):575–82. 82-4.CrossRefPubMedGoogle Scholar
  20. 20.
    Burkey SH, van Heerden JA, Thompson GB, Grant CS, Schleck CD, Farley DR. Reexploration for symptomatic hematomas after cervical exploration. Surgery. 2001;130(6):914–20.CrossRefPubMedGoogle Scholar
  21. 21.
    Leyre P, Desurmont T, Lacoste L, Odasso C, Bouche G, Beaulieu A, et al. Does the risk of compressive hematoma after thyroidectomy authorize 1-day surgery? Langenbeck’s Arch Surg. 2008;393(5):733–7.CrossRefGoogle Scholar
  22. 22.
    Bergenfelz A, Jansson S, Martensson H, Reihner E, Wallin G, Kristoffersson A, et al. Scandinavian quality register for thyroid and parathyroid surgery: audit of surgery for primary hyperparathyroidism. Langenbeck’s Arch Surg. 2007;392(4):445–51.CrossRefGoogle Scholar
  23. 23.
    Promberger R, Ott J, Kober F, Koppitsch C, Seemann R, Freissmuth M, et al. Risk factors for postoperative bleeding after thyroid surgery. Br J Surg. 2012;99(3):373–9.CrossRefPubMedGoogle Scholar
  24. 24.
    Rajeev P, Sutaria R, Ezzat T, Mihai R, Sadler GP. Changing trends in thyroid and parathyroid surgery over the decade: is same-day discharge feasible in the United Kingdom? World J Surg. 2014;38(11):2825–30.CrossRefPubMedGoogle Scholar
  25. 25.
    Tuggle CT, Roman S, Udelsman R, Sosa JA. Same-day thyroidectomy: a review of practice patterns and outcomes for 1,168 procedures in New York state. Ann Surg Oncol. 2011;18(4):1035–40.CrossRefPubMedGoogle Scholar
  26. 26.
    Spanknebel K, Chabot JA, DiGiorgi M, Cheung K, Curty J, Allendorf J, et al. Thyroidectomy using monitored local or conventional general anesthesia: an analysis of outpatient surgery, outcome and cost in 1,194 consecutive cases. World J Surg. 2006;30(5):813–24.CrossRefPubMedGoogle Scholar
  27. 27.
    Trottier DC, Barron P, Moonje V, Tadros S. Outpatient thyroid surgery: should patients be discharged on the day of their procedures? Can J Surg. 2009;52(3):182–6.PubMedPubMedCentralGoogle Scholar
  28. 28.
    Hessman C, Fields J, Schuman E. Outpatient thyroidectomy: is it a safe and reasonable option? Am J Surg. 2011;201(5):565–8.CrossRefPubMedGoogle Scholar
  29. 29.
    Sahmkow SI, Audet N, Nadeau S, Camire M, Beaudoin D. Outpatient thyroidectomy: safety and patients’ satisfaction. J Otolaryngol Head Neck Surg. 2012;41(Suppl 1):S1–12.PubMedGoogle Scholar
  30. 30.
    McHenry CR. “Same-day” thyroid surgery: an analysis of safety, cost savings, and outcome. Am Surg. 1997;63(7):586–9. Discussion 9-90.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryHadassah-Hebrew University Medical CenterJerusalemIsrael
  2. 2.Endocrine and General Surgery, Department of SurgeryHadassah-Hebrew University Medical CenterJerusalemIsrael

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