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[Surgery of thyroid pathologies in one-day surgery]
M A Cannizzaro1, L Caruso, M Costanzo
1Università degli Studi di Catania, Servizio Autonomo Clinicizzato di Endocrinochirurgia, P.O. S. Luigi, Currò, Catania.
Annali Italiani Di Chirurgia
|April 23, 2003
Summary
One-Day Surgery for thyroid conditions is safe for carefully selected patients. This approach minimizes hospital stays while ensuring adequate post-operative care for thyroid surgery.
Area of Science:
- Endocrinology
- Surgical Oncology
- General Surgery
Context:
- Thyroid surgery, including thyroidectomy, is increasingly being considered for outpatient settings.
- Selecting appropriate patients and ensuring specialized team availability are crucial for same-day surgery success.
Purpose:
- To evaluate the advantages and limitations of short-stay hospital admission for thyroid pathologies.
- To define selection criteria for patients undergoing thyroidectomy in a One-Day Surgery (ODS) setting.
Summary:
- Forty-three patients underwent thyroid lobectomies or enucleoresections under general anesthesia for benign thyroid disease.
- Strict selection criteria included euthyroid status, localized benign pathology, and absence of comorbidities.
- Only two cases required a second hospital stay due to a definitive carcinoma diagnosis; all patients had drains removed after 24 hours.
Impact:
- Demonstrates the feasibility of One-Day Surgery for select thyroidectomies.
- Highlights the importance of patient selection and multidisciplinary team support for successful outpatient thyroid surgery.
- Suggests potential for reduced healthcare costs and improved patient flow through optimized surgical pathways.