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Tytuł pozycji:

Introducing day case thyroid lobectomy at a tertiary head and neck centre.

Tytuł:
Introducing day case thyroid lobectomy at a tertiary head and neck centre.
Autorzy:
Sheikh Z; Cambridge University Hospitals NHS Foundation Trust, UK.
Lingamanaicker V; Cambridge University Hospitals NHS Foundation Trust, UK.
Irune E; Cambridge University Hospitals NHS Foundation Trust, UK.
Fish B; Cambridge University Hospitals NHS Foundation Trust, UK.
Jani P; Cambridge University Hospitals NHS Foundation Trust, UK.
Źródło:
Annals of the Royal College of Surgeons of England [Ann R Coll Surg Engl] 2021 Jul; Vol. 103 (7), pp. 499-503.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: London : Royal College of Surgeons of England
MeSH Terms:
Ambulatory Surgical Procedures/*adverse effects
Hematoma/*epidemiology
Postoperative Complications/*epidemiology
Thyroid Diseases/*surgery
Thyroidectomy/*methods
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Cost-Benefit Analysis ; Feasibility Studies ; Female ; Hematoma/etiology ; Humans ; Male ; Middle Aged ; Patient Readmission/economics ; Patient Readmission/statistics & numerical data ; Patient Safety ; Postoperative Complications/economics ; Postoperative Complications/etiology ; Reoperation/economics ; Reoperation/statistics & numerical data ; Retrospective Studies ; Tertiary Care Centers/economics ; Tertiary Care Centers/statistics & numerical data ; Thyroid Diseases/economics ; Thyroidectomy/adverse effects ; Thyroidectomy/economics ; Treatment Outcome ; Young Adult
References:
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Ann Surg Oncol. 2011 Apr;18(4):1035-40. (PMID: 21086054)
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J Otolaryngol Head Neck Surg. 2012 Apr;41 Suppl 1:S1-12. (PMID: 22569044)
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Am J Surg. 1997 Jun;173(6):499-503. (PMID: 9207162)
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Contributed Indexing:
Keywords: Ambulatory care; Daycase thyroidectomy; Postoperative haemorrhage; Thyroid disease; Thyroid lobectomy; Thyroid surgery
Entry Date(s):
Date Created: 20210630 Date Completed: 20210705 Latest Revision: 20230713
Update Code:
20240105
PubMed Central ID:
PMC10335161
DOI:
10.1308/rcsann.2020.7063
PMID:
34192491
Czasopismo naukowe
Background: Thyroid lobectomy is considered to be a safe day case procedure by the British Association of Day Surgery. However, currently only 5.5% of thyroid surgeries in the UK are undertaken as day cases. We determine if and how thyroid lobectomy with same-day discharge could safely be introduced in our centre.
Methods: We analysed all thyroid lobectomy surgeries performed between April 2015 and May 2019. Exclusion criteria included completion surgery, revision surgery, additional procedures and disseminated disease. Outcomes were benchmarked against surgeon-reported complications from the British Association of Endocrine and Thyroid Surgery's 5 th National Audit. Additionally, we reviewed the number of patients who met day case criteria currently in use at our hospital to determine accessibility to the service.
Results: In total, 259 thyroid lobectomy surgeries were undertaken and of these 173 met the inclusion criteria. There was no mortality, return to theatre for evacuation of postoperative haematoma or readmission. There was one postoperative haematoma which was drained at the bedside. Some 47 of the 173 (27.2%) patients met day case criteria currently in use at our centre.
Conclusions: Day case surgery provides a cost-effective solution to rising bed pressures and a coherent protocol can optimise patient safety and experience.

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