To admit or not to admit? Experience with outpatient thyroidectomy for Graves’ disease in a high-volume tertiary care center

Academic Article

Abstract

  • Background: Outpatient thyroidectomy is increasingly performed. Thyroidectomy for Graves' disease, however, has greater risk of periprocedural complications, limiting use of same-day procedures. We sought to demonstrate that these patients may be managed with ambulatory surgery. Methods: The experience of one endocrine surgeon with thyroidectomy for Graves' was examined from January 2016–November 2017. Forty-one patients met criteria. Patient demographics, perioperative parameters, and postoperative outcomes including emergency department utilization and readmission were recorded. Results: Mean age was 31.5 ± 17.0 years, with 80% females. Mode ASA score was 3, and median operative time was 77 minutes (43–132). Complications included transient hypocalcaemia in 12%, and temporary laryngeal nerve palsy in 9.7%, with no permanent complications. Two patients were admitted immediately postoperatively for non-medical reasons. Thirty-day emergency rdepartment visits were noted in 9.7%, with subsequent readmission of 7%. Conclusions: Outpatient total thyroidectomy is safe and effective with acceptable morbidity in the Graves' patient.
  • Digital Object Identifier (doi)

    Author List

  • Mallick R; Asban A; Chung S; Hur J; Lindeman B; Chen H
  • Start Page

  • 985
  • End Page

  • 989
  • Volume

  • 216
  • Issue

  • 5