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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

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Published on: September 15, 2023

[Is ambulatory endocrine neck surgery safe?]

Sara Freidenfelt¹, Fredrik Karlsson², Catharina Ihre Lundgren³

¹specialistläkare, kirurgi, Nyköpings lasarett.

|June 19, 2024

Summary

This summary is machine-generated.

Ambulatory endocrine neck surgery, including parathyroid exploration and thyroid procedures, is safe for carefully selected patients. This study found low complication and readmission rates, supporting outpatient management.

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Investigation of the Electrophysiological and Thermographic Safety Parameters of Surgical Energy Devices During Thyroid and Parathyroid Surgery in a Porcine Model

Investigation of the Electrophysiological and Thermographic Safety Parameters of Surgical Energy Devices During Thyroid and Parathyroid Surgery in a Porcine Model

Published on: October 13, 2022

Area of Science:

Endocrinology
Surgical Oncology
Outpatient Surgery

Background:

Ambulatory surgery is increasingly utilized for various procedures.
Endocrine neck surgeries, such as parathyroid exploration and thyroidectomy, traditionally involve inpatient stays.
Assessing the safety of ambulatory endocrine neck surgery is crucial for patient care and resource management.

Purpose of the Study:

To evaluate complications and re-admissions following ambulatory endocrine neck surgery.
To determine the safety and feasibility of outpatient parathyroid exploration, hemithyroidectomy, and thyroid isthmus resection.

Main Methods:

Retrospective observational study of 280 patients undergoing endocrine neck surgery between 2018-2019.
Analysis of medical records for re-admissions within 10 days and healthcare contact within 30 days.
Identification of postoperative complications, including nerve palsy and infections.

Main Results:

256 out of 280 patients underwent successful ambulatory surgery.
Five patients experienced complications: one recurrent laryngeal nerve palsy and four postoperative infections.
One patient was readmitted within 10 days, unrelated to the surgery.
22 patients required conversion to inpatient care, one due to bleeding.

Conclusions:

Ambulatory endocrine neck surgery can be performed safely with appropriate patient selection and monitoring.
Low rates of complications and re-admissions support the use of outpatient settings for these procedures.
This approach does not compromise patient safety in endocrine neck surgery.