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Six-Year Experience of Outpatient Total and Completion Thyroidectomy at a Single Academic Institution.

Abstract Outpatient thyroidectomy has become slowly accepted with various published reports predominantly examining partial or subtotal thyroidectomy. Concerns regarding the safety of outpatient total and completion thyroidectomy remain, especially with regard to vocal fold paralysis, hypocalcemia, and catastrophic hematoma. We aimed to evaluate the safety of outpatient thyroid surgery in a large cohort by retrospectively comparing outcomes in those who underwent outpatient (n = 251) versus inpatient (n = 291) completion or total thyroidectomy between February 2009 and February 2015. Outpatient completion and total thyroidectomy had lower rates of temporary hypocalcemia (6% vs 24.4%; P < 0.001) and no significant difference in rates of return to emergency department (1.2% vs 1.4%), hematoma formation (0.8% vs 0.7%), temporary (2% vs 4.1%) or permanent (0.4% vs 0.7%) vocal fold paralysis, or permanent hypocalcemia (0.4% vs 0%) compared with the inpatient group. Outpatients requiring calcium replacement had shorter duration of postoperative calcium supplementation (44.4 ± 59.3 days vs 63.3 ± 94.4 days; P < 0.001). Our data demonstrate similar safety in outpatient and inpatient total and completion thyroidectomy.
PMID
Related Publications

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Authors

Mayor MeshTerms

Ambulatory Surgical Procedures

Keywords
Journal Title the american surgeon
Publication Year Start




PMID- 28424134
OWN - NLM
STAT- MEDLINE
DA  - 20170420
DCOM- 20170501
LR  - 20170501
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 83
IP  - 4
DP  - 2017 Apr 01
TI  - Six-Year Experience of Outpatient Total and Completion Thyroidectomy at a Single 
      Academic Institution.
PG  - 381-384
AB  - Outpatient thyroidectomy has become slowly accepted with various published
      reports predominantly examining partial or subtotal thyroidectomy. Concerns
      regarding the safety of outpatient total and completion thyroidectomy remain,
      especially with regard to vocal fold paralysis, hypocalcemia, and catastrophic
      hematoma. We aimed to evaluate the safety of outpatient thyroid surgery in a
      large cohort by retrospectively comparing outcomes in those who underwent
      outpatient (n = 251) versus inpatient (n = 291) completion or total thyroidectomy
      between February 2009 and February 2015. Outpatient completion and total
      thyroidectomy had lower rates of temporary hypocalcemia (6% vs 24.4%; P &lt; 0.001) 
      and no significant difference in rates of return to emergency department (1.2% vs
      1.4%), hematoma formation (0.8% vs 0.7%), temporary (2% vs 4.1%) or permanent
      (0.4% vs 0.7%) vocal fold paralysis, or permanent hypocalcemia (0.4% vs 0%)
      compared with the inpatient group. Outpatients requiring calcium replacement had 
      shorter duration of postoperative calcium supplementation (44.4 +/- 59.3 days vs 
      63.3 +/- 94.4 days; P &lt; 0.001). Our data demonstrate similar safety in outpatient
      and inpatient total and completion thyroidectomy.
FAU - Frank, Ethan
AU  - Frank E
FAU - Park, Joshua
AU  - Park J
FAU - Simental, Alfred Jr
AU  - Simental A Jr
FAU - Vuong, Christopher
AU  - Vuong C
FAU - Lee, Steve
AU  - Lee S
FAU - Filho, Pedro Andrade
AU  - Filho PA
FAU - Kwon, Daniel
AU  - Kwon D
FAU - Liu, Yuan
AU  - Liu Y
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - *Ambulatory Surgical Procedures
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Safety
MH  - Postoperative Complications/epidemiology
MH  - Retrospective Studies
MH  - Thyroid Diseases/*surgery
MH  - Thyroidectomy/*methods
MH  - Treatment Outcome
EDAT- 2017/04/21 06:00
MHDA- 2017/05/02 06:00
CRDT- 2017/04/21 06:00
PST - ppublish
SO  - Am Surg. 2017 Apr 1;83(4):381-384.

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