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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Day-case and short-stay surgery: the future for thyroidectomy?
R Mirnezami1, A Sahai, A Symes
1Academic Department of Surgery, Basildon Hospital, Basildon and Thurrock Hospitals NHS Foundation Trust, Basildon, UK.
International Journal of Clinical Practice
|June 20, 2007
Summary
Day-case and short-stay thyroid surgery shows comparable complication rates to traditional inpatient thyroidectomy. Further research is needed to confirm the long-term safety of these expedited thyroidectomy approaches.
Area of Science:
- Surgical Oncology
- Endocrine Surgery
Background:
- Day-case and short-stay thyroid surgery are common globally.
- The UK traditionally advocates longer postoperative stays for thyroidectomy to manage complications.
- Current healthcare trends emphasize patient-centered care, reduced hospital stays, and cost-effectiveness.
Purpose of the Study:
- To comprehensively assess the safety and feasibility of day-case and short-stay thyroidectomy.
- To compare complication rates of expedited thyroidectomy with traditional inpatient approaches.
Main Methods:
- A systematic electronic literature search was conducted across major databases (MEDLINE, Ovid, Embase, PubMed, Cochrane).
- Twenty-two original studies meeting inclusion criteria were reviewed.
- Data on complication rates and outcomes were analyzed.
Main Results:
- Studies generally demonstrated the feasibility of day-case and short-stay thyroidectomy.
- Complication rates were comparable to traditional longer-stay thyroidectomy.
- Most life-threatening complications occurred early postoperatively, though late hemorrhage was noted up to 5 days post-surgery.
Conclusions:
- Day-case and short-stay thyroid surgery appear to have comparable complication rates to inpatient thyroidectomy.
- While feasible, further investigation is required to definitively establish the safety of these expedited approaches.
