DOI: http://dx.doi.org/10.18203/2349-2902.isj20194041

Thyroid surgery in a major ambulatory surgery system in a third level hospital

Marina Jiménez Segovia, Cristina Alvarez Segurado, Jaime Bonnin Pascual, Alessandro Bianchi, Xavier Gonzalez Argente

Abstract


Background: The thyroid surgery in CMA regimen has proven to be effective and safe, as long as there is an exhaustive selection of patients and it is performed by expert surgeons.

Methods: We analyzed 12 patients who underwent hemithyroidectomy in the CMA regime between 2015-2017, who underwent surgery by the same team of specialized surgeons, and analyzed the complications, the characteristics of the patients, the characteristics of the piece, the definitive diagnosis, and the indicators of quality, readmissions in the first week and the rate of reinterventions.

Results: There were no serious complications; 2 patients (16.6%) presented minor complications: 1 (8.3%) presented seroma of the surgical wound and in another (8.3%) a transitory dysphonia with complete recovery at 3 weeks. There was no readmission and in one case (8.3%) hospital admission was required due to poor control of postoperative pain. The operative time was 62.9±17.7 min and the blood loss was insignificant.

Conclusions: Thyroid surgery limited to one lobe in selected patients and with an established protocol can be effective and safe in CMA regimen, provided it is performed by expert surgeons and finds very exhaustive selection criteria.


Keywords


Total thyroidectomy, Ambulatory major surgery, Results of hemithyroidectomy, Complications of thyroidectomy

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