CLINICAL RESULTS OF PATIENTS UNDERWENT 23 HOUR/OUTPATIENT THYROIDECTOMY IN A SINGLE CENTER

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CLINICAL RESULTS OF PATIENTS UNDERWENT 23 HOUR/OUTPATIENT THYROIDECTOMY IN A SINGLE CENTER

Journal Title: Çukurova Anestezi ve Cerrahi Bilimler Dergisi - Year 2019, Vol 2, Issue 2

Abstract

Abstract Aim: Thyroidectomy is being performed increasingly with outpatient application and short hospital stay. Outpatient thyroidectomy is more cost-effective and has similar complication rates compared with hospitalized patients. We aimed to present results of patients performed 23 hour/outpatient thyroidectomy. Material and Methods: 157 patients underwent total thyrodectomy, hemithyrodectomy and completing thyroidectomy in our Center by one surgeon between January 2018 and February 2019 were enrolled in our study. 8 patients underwent neck dissection and 2 patients had early postoperative complication (subcutaneous emphysema and myocardial infarction) were excluded. Though 147 patients included in this study were retrospectively analyzed. Results: 125 (85%) patients were female and 22 (15%) were male. The median age was (19-88). Preoperative thyroid fine needle aspiration (FNA) was; 44 (29.9%) follicular neoplasia, 13 (8.8%) malignancy, 5 (3.4%) benign cytology and 5 (3.4%) Hurthle cell neoplasia. FNA was not done in 55 (37.4%) patients and was insufficient in 25 (17%) patients. Of 147 patients 126 (85%) underwent total thyroidectomy, 12 (8.2%) unilateral thyroidectomy and 9 (6.1%) completing thyroidectomy. Intraoperative recurrent nerve monitorization was done in 141 (95.9%) patients. Drainage was placed in 130 (88.4%) patients. Average operation time was (35-87) minutes. Postoperative complications were; 10 (6.8%) transient hypocalcemia, 2 (1.4%) permanent hypocalcemia, 2 (1.4%) transient recurrent laryngeal nerve palsy and 1 (0.7%) permanent recurrent laryngeal nerve palsy. 1 (0.7%) patient had postoperative bleeding needing surgical intervention. Postoperative seroma was observed in 3 (2.4%) patients. Permanent pathology report was malignant in 85 (57.8%) patients. 42 (28.6%) patients received radioactive iodine treatment postoperatively. Conclusion: 23 hour/Outpatient thyroidectomy can be performed safely with low postoperative complication rates.

Authors and Affiliations

Hakan Yabanoğlu

Keywords

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EP ID EP624752
DOI 10.36516/jocass.2019.2
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