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Related Experiment Video

Updated: Jan 7, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Overnight total thyroidectomy: a safe management.

Riccardo Morandi1,2, Claudio Guarneri3, Matteo Nardin4

  • 1Department of Clinical and Experimental Sciences, Surgical Clinic, University of Brescia, ASST Spedali Civili, Brescia, Italy. riccardo.morandi@unibs.it.

Langenbeck'S Archives of Surgery
|December 24, 2025
PubMed
Summary
This summary is machine-generated.

Same-day discharge after total thyroidectomy is safe and effective, with no increased risk of complications. Patients reported high satisfaction with this rapid discharge protocol, especially when combined with comprehensive education.

Keywords:
Early dischargeOvernight thyroidectomy; selection criteriaPostoperative complicationTotal thyroidectomy

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Area of Science:

  • Endocrine Surgery
  • Surgical Outcomes
  • Patient Safety

Background:

  • Rapid discharge protocols are increasingly adopted in thyroid surgery.
  • These protocols aim to manage increased surgical volumes without compromising patient safety.
  • Overnight thyroidectomy (POD1 discharge) is being evaluated against traditional longer stays.

Purpose of the Study:

  • To assess the safety and efficacy of same-day discharge (POD1) after total thyroidectomy.
  • To compare complication rates between rapid discharge (POD1) and standard discharge (POD3) groups.
  • To evaluate patient satisfaction with the rapid discharge protocol.

Main Methods:

  • Retrospective analysis of 729 patients undergoing total thyroidectomy (2016-2024).
  • Comparison of 402 patients discharged on POD1 versus 327 patients discharged on POD3.
  • Collection of postoperative complication data at 24 hours, 10 days, and 30 days; patient satisfaction was also recorded.

Main Results:

  • No significant differences in complication rates were observed between POD1 and POD3 discharge groups at any follow-up point.
  • Graves' disease was associated with a higher incidence of early and overall postoperative complications.
  • 94.6% of patients discharged on POD1 reported high overall satisfaction with the rapid discharge protocol.

Conclusions:

  • Same-day discharge (POD1) following total thyroidectomy is safe for carefully selected patients, posing no additional postoperative risk.
  • Patients with Graves' disease may experience more complications, requiring careful consideration for early discharge.
  • Overnight thyroidectomy, supported by thorough patient education, is well-received by surgical patients.