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Related Experiment Videos

Local/regional anesthesia for thyroidectomy: evaluation as an outpatient procedure

P Lo Gerfo1

  • 1Columbia University College of Physicians and Surgeons, New York, NY, USA.

Surgery
|December 17, 1998
PubMed
Summary

Thyroid surgery can be safely performed with local/regional anesthesia in an outpatient setting. Patients experience high satisfaction and can be discharged within 6-8 hours with no readmissions.

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Area of Science:

  • Anesthesiology
  • Surgical Oncology
  • Outpatient Surgery

Background:

  • Local/regional anesthesia is increasingly utilized in outpatient surgical settings.
  • Thyroid surgery traditionally involves general anesthesia.
  • Evaluating the safety and efficacy of local/regional anesthesia for thyroidectomy is crucial.

Purpose of the Study:

  • To review the evolving experience with local/regional anesthesia for thyroid operations in an outpatient setting.
  • To assess patient outcomes, including discharge times and satisfaction.
  • To determine the feasibility of same-day discharge after thyroidectomy under local/regional anesthesia.

Main Methods:

  • A retrospective review of 203 consecutive patients undergoing thyroidectomy under local/regional anesthesia over 9 years.

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  • Patients were observed for 6 hours post-operation for potential complications before discharge.
  • Discharge criteria included absence of neck swelling and no surgical contraindications.

    • Main Results:

    • Most patients (77% in group C) were discharged within 6 hours, with no significant difference in discharge time based on anesthesia type.
    • No hospital readmissions occurred; two patients required reoperation for postoperative bleeding.
    • Patient-reported pain levels were comparable to dental procedures, with 95% rating it as equivalent or less severe.

    Conclusions:

    • Thyroidectomy can be safely performed using local/regional anesthesia in an outpatient setting.
    • High patient satisfaction and low morbidity are achievable with this approach.
    • Early discharge (6-8 hours) is feasible and not associated with increased readmission rates.