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One-day vs standard thyroidectomy. A perspective study of feasibility
M Testini1, M Nacchiero, S Miniello
1Section of General Vascular and Clinical Oncology, Department of Application in Surgery of Innovative Technologies, University of Bari, Bari, Italy. mario.testini@tin.it
Minerva Endocrinologica
|July 2, 2002
Summary
One-day thyroidectomy is a safe and feasible outpatient procedure. It offers comparable results to standard thyroidectomy, benefiting both patients and surgeons.
Area of Science:
- Endocrinology
- Surgical Innovation
Background:
- Thyroidectomy is a common surgical procedure.
- Evaluating novel approaches to thyroidectomy is crucial for improving patient care and resource utilization.
Purpose of the Study:
- To assess the feasibility and outcomes of one-day thyroidectomy compared to traditional standard thyroidectomy.
- To determine if a same-day discharge model is safe and effective for thyroid disease patients.
Main Methods:
- A randomized controlled trial involving 110 patients undergoing total thyroidectomy.
- Patients were allocated to either one-day thyroidectomy (Group A, 40 patients) or standard thyroidectomy (Group B, 70 patients).
- Immediate postoperative mobilization and hospitalization duration were key comparison metrics.
Main Results:
- No statistically significant difference in temporary hypocalcemia or hypoparathyroidism between groups (7.5% vs 7.1%).
- Zero instances of definitive hypoparathyroidism, recurrent laryngeal nerve (RLN) injury, or postoperative hemorrhage in either group.
- Mean hospital stay was significantly shorter for one-day thyroidectomy (21 hours) versus standard thyroidectomy (60 hours).
Conclusions:
- One-day thyroidectomy is a safe, feasible, and cost-effective surgical option.
- This approach provides equivalent immediate and long-term results to standard thyroidectomy for selected patients.
- The one-day model enhances convenience for both patients and surgeons.