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Outpatient thyroidectomy

William S Duke, F Christopher Holsinger, Emad Kandil, Jeremy D Richmon, Michael C Singer, David J Terris
BACKGROUND: Robotic facelift thyroidectomy (RFT) was developed as a new surgical approach to the thyroid gland using a remote incision site. Early favorable results led to this confirmatory multi-institutional experience. METHODS: Prospectively collected data on consecutive patients undergoing RFT in five North American academic endocrine surgical practices were compiled. Surgical indications, operative times, final pathology, nodule size, complications, and postoperative management (drain use and length of hospital stay) were evaluated...
October 13, 2016: World Journal of Surgery
Shigeki Minami, Keiji Inoue, Junji Irie, Takashi Mine, Nobuhiro Tada, Masataka Hirabaru, Kazumasa Noda, Shinichiro Ito, Masashi Haraguchi
The incidence of thyroid metastasis among colorectal cancer patients is extremely rare. We report a case of colonic adenocarcinoma metastasis to the thyroid gland with treatment of lung and liver metastases, in a 61-year-old woman with a history of colon cancer. She showed a thyroid mass related to a 3-month history of hoarseness. Physical and imaging examinations disclosed a diffuse large thyroid mass with swollen cervical lymph nodes. Fine-needle aspiration cytology of the thyroid mass suggested malignancy...
December 2016: Surgical Case Reports
Alexandra E Quimby, Simon T Wells, Matthew Hearn, Hedyeh Javidnia, Stephanie Johnson-Obaseki
OBJECTIVE: The purpose of this study was to perform a systematic review and meta-analysis to determine whether a difference exists in hematoma rates following thyroidectomy for any of the following subgroups of patients: Graves disease, toxic nodular goiter (TNG), and malignancy. STUDY DESIGN: Systematic review and meta-analysis. METHODS: A systematic literature search was performed for all relevant English and French language studies (1946-2015) using Ovid MEDLINE, EMBASE, and PubMed...
August 2, 2016: Laryngoscope
Charles Meltzer, Marc Klau, Deepak Gurushanthaiah, Joanne Tsai, Di Meng, Linda Radler, Alvina Sundang
OBJECTIVES/HYPOTHESIS: To test our hypothesis that high-surgeon volume is associated with improved surgical efficiency and 30-day outcomes, and lower hospital utilization. STUDY DESIGN: Retrospective observational cohort, 2008-2013. METHODS: A total of 3,135 patients with hemithyroidectomy or total thyroidectomy performed by a high-volume surgeon, propensity score-matched to 3,135 patients with the same procedure performed by a low-volume surgeon...
June 23, 2016: Laryngoscope
Russell B Smith, Andrew Coughlin
Total thyroidectomy has significantly changed over the years from a morbid procedure to one that is performed routinely on an outpatient basis. This article reviews the history of thyroid surgery with regard to hemostasis, discusses surgical vascular anatomy, and describes the methods of hemostasis. It compares traditional hemostatic surgical techniques with newer techniques such as the Harmonic Scalpel and LigaSure hand pieces. The use of adjunctive hemostatic agents and indications for a drain in thyroid are discussed...
June 2016: Otolaryngologic Clinics of North America
Zaid Al-Qurayshi, Gregory W Randolph, Sudesh Srivastav, Rizwan Aslam, Paul Friedlander, Emad Kandil
OBJECTIVES/HYPOTHESIS: Disparities in economic and social parameters have been identified as underlying factors that influence diseases outcomes. We aim to examine the influence of community-specific measures on outcomes related to thyroid surgery. STUDY DESIGN: A cross-sectional study utilizing the State Inpatient databases and State Ambulatory Surgery and Services databases, 2010 to 2011. Those databases were merged with the County Health Ranking database. METHODS: The study population included adult (≥18 years) inpatients and outpatients who underwent thyroidectomy...
September 2016: Laryngoscope
Z Al-Qurayshi, S Srivastav, E Kandil
BACKGROUND: Thyroidectomy is increasingly being performed as an outpatient procedure. In this study, we aim to examine patient characteristics and clinical factors associated with outpatient thyroid surgeries as compared to inpatient procedures. METHODS: A cross-sectional study for the period of 2007-2010. Inpatients and outpatients were selected from the Nationwide Inpatient Sample and State Ambulatory Surgery and Services Databases, respectively. All patients were adults (≥18 years) who underwent thyroidectomy in the States of Florida and New York...
July 2016: European Journal of Surgical Oncology
Charles Meltzer, Marc Klau, Deepak Gurushanthaiah, Joanne Tsai, Di Meng, Linda Radler, Alvina Sundang
OBJECTIVE: To test our hypothesis that general and thyroid surgery-specific complications, mortality, and postdischarge utilization for patients undergoing outpatient and inpatient thyroid and parathyroid surgery would not differ when outpatient status was defined as discharge within 8 hours of surgery completion. STUDY DESIGN: Retrospective observational cohort, 2008 to 2013. SETTING: Kaiser Permanente Northern California and Kaiser Permanente Southern California...
May 2016: Otolaryngology—Head and Neck Surgery
Kohei Nishimoto, Yoshihiko Kumai, Daizo Murakami, Eiji Yumoto
We report a rare case of black thyroid accompanied by papillary carcinoma in a patient with an extended history of minocycline treatment. A 78-year-old man was referred to our outpatient clinic with swelling in his neck. He had been taking minocycline for the previous 2 years and 7 months to treat chronic perianal pyoderma. Neck ultrasonography and computed tomography demonstrated a 3.5 × 3.7 × 5.0-cm nodule in the left thyroid lobe, and fine-needle aspiration cytology identified it as a papillary carcinoma...
March 2016: Ear, Nose, & Throat Journal
Kurt L Nelson, Andrew M Hinson, Bradley R Lawson, Derek Middleton, Donald L Bodenner, Brendan C Stack
OBJECTIVE: To describe a safe and effective postoperative prophylactic calcium regimen for same-day discharge thyroid and parathyroid surgery. STUDY DESIGN: Case series with chart review. SETTING: Tertiary referral academic institution. SUBJECTS AND METHODS: In total, 162 adult patients who underwent total thyroidectomy, completion thyroidectomy, unilateral parathyroidectomy, parathyroidectomy with bilateral neck exploration, or revision parathyroidectomy were identified preoperatively to be candidates for same-day discharge...
May 2016: Otolaryngology—Head and Neck Surgery
Andrew Brekke, Dawn M Elfenbein, Tariq Madkhali, Sarah C Schaefer, Cindy Shumway, Herbert Chen, David F Schneider, Rebecca S Sippel, Courtney Balentine
BACKGROUND: Little is known about care coordination and communication with outpatient endocrine surgery patients. This study evaluated phone calls between office nurses and surgical patients to identify common issues addressed and their effect on patient care. METHODS: Qualitative analysis of preoperative and postoperative phone conversations between office nurses and endocrine surgery patients. RESULTS: We identified 183 thyroidectomy patients with 38% contacting our office before surgery and 54% within 30 days after surgery...
March 2016: American Journal of Surgery
Courtney J Balentine, Rebecca S Sippel
Outpatient thyroid surgery is controversial because of concerns over life-threatening cervical hematoma. Despite this concern, outpatient thyroidectomy is becoming increasingly common, especially among high-volume endocrine surgeons. Multiple studies have now demonstrated that careful patient selection combined with surgeon experience can result in successful and safe surgery without a full inpatient admission. This article reviews the data on safety and outcomes for outpatient thyroidectomy and discusses several techniques used to minimize risk to patients...
January 2016: Surgical Oncology Clinics of North America
Jamie M Segel, William S Duke, Jennifer R White, Jennifer L Waller, David J Terris
OBJECTIVES: Outpatient thyroid surgery is becoming increasingly common. The aim of this study was to clarify the principles for safe outpatient thyroid surgery and review our outcomes with the use of a protocol for outpatient thyroidectomy in a large patient cohort. STUDY DESIGN: A systematic analysis of a prospectively maintained database of outcomes of thyroidectomy in a tertiary endocrine surgery practice. SETTING: Academic medical center...
February 2016: Surgery
Ayten Oguz, Dilek Tuzun, Elif Ozdemir, Reyhan Ersoy, Aylin Kilic Yazgan, Bekir Cakir
OBJECTIVE: Ectopic thyroid tissue (ETT) is a rare abnormality of the thyroid gland and the true prevalence and importance is not known. The aim of this study was to evaluate ultrasonography (US) guided fine needle aspiration biposy (FNAB) results, sonographic features, and frequency of ETT detected in the midline of the neck. SUBJECTS AND METHODS: Five thousand five hundred and twenty outpatients who were referred to our thyroid clinic between September 2010 and April 2012 and underwent thyroid US, were retrospectively analyzed...
August 28, 2015: Archives of Endocrinology and Metabolism
Amitabh Jena, Rashmi Patnayak, Jaya Prakash, Alok Sachan, V Suresh, Amarchala Yadagiri Lakshmi
BACKGROUND: Thyroid nodules are common. They can be either benign or malignant. Solitary thyroid nodules (STN) have a high likelihood of being malignant. They should be characterized properly for optimum management. MATERIALS AND METHODS: In this study, we have analyzed our departmental data over a period of 5 years. All the patients who presented to the outpatient department with a clinically detected STN were included in the study group. Our approach was individualized...
July 2015: Indian Journal of Endocrinology and Metabolism
William S Duke, Jennifer R White, Jennifer L Waller, David J Terris
BACKGROUND: Though minimally invasive video-assisted thyroidectomy (MIVAT) offers many advantages over traditional thyroid surgery, its adoption in North America has been limited. This study analyzes the largest series of MIVAT in North America to explore its safety. METHODS: A prospectively maintained database of all patients undergoing thyroid surgery by a single surgeon from 2003 to 2011 at an academic tertiary care medical center was evaluated. Demographic information, surgical and pathologic data, and postoperative outcomes were analyzed...
November 2015: Annals of Otology, Rhinology, and Laryngology
Eleni Magdalini A Kyritsi, Xanthi Yiakoumis, Gerasimos A Pangalis, Charalampos Pontikoglou, Katerina Pyrovolaki, Christina Kalpadakis, Irini Mavroudi, Helen Koutala, Semeli Mastrodemou, Theodoros P Vassilakopoulos, George Vaiopoulos, Evanthia Diamanti-Kandarakis, Helen A Papadaki, Maria K Angelopoulou
Granulopoiesis abnormalities have been described in association with thyroid disorders (TD). However, data regarding systematic evaluation of adult neutropenia and concurrent or prior TD are scarce. To investigate the frequency of TD among patients presenting with neutropenia, and the immunophenotypic and immunologic profile of neutropenic patients with concomitant thyroidopathy. Two hundred eighteen consecutive neutropenic patients were prospectively evaluated in our outpatient Hematology Clinic, with a detailed laboratory screen, including thyroid function tests, antineutrophil antibodies, blood lymphocytes immunophenotyping, and detection of T-cell clonality by PCR...
June 2015: Medicine (Baltimore)
Marco Antonio Ayala, Myron William Yencha
BACKGROUND: To determine the safety and outcome of outpatient thyroid surgery in a small low-surgical volume hospital. To evaluate clinical and social factors that may prohibit outpatient thyroid surgery. METHODS: Retrospective analysis of all thyroid surgery performed at a low-surgical volume hospital from August 2006 to July 2014. One-hundred and sixty patients underwent thyroid surgery during the study period. Electronic medical records were reviewed for all patients...
September 2015: World Journal of Surgery
Lidao Bao, Rui Peng, Yi Wang, Ruilian Ma, Xianhua Ren, Wenbin Meng, Fusheng Sun, Junxia Fang, Ping Chen, Yang Wang, Qiuhong Chen, Jian Cai, Jian Jin, Jinhui Guo, Shucheng Yang, Xiaomei Mo, Enjing Zhang, Yuerong Zhang, Zhaoxin Lu, Binbin Chen, Xiujuan Yue, Meijun Zhu, Yingying Wang, Xinchao Li, Yuan Bian, Shaoshan Kong, Wenfei Pan, Qian Ding, Jun Cao, Rupin Liu, Nan Chen, Xuelian Huang, Agula B, Haijun Lyu
INTRODUCTION: On July 1, 2011, the Chinese government launched a national Action Plan for antibiotic stewardship targeting antibiotic misuse in public hospitals. The aim of this study was to evaluate the impacts of the Action Plan in terms of frequency and intensity of antibiotic utilization and patients costs in public general hospitals. METHODS: Administrative pharmacy data from July 2010 to June 2014 were sampled from 65 public general hospitals and divided into three segments: (1) July 2010 to June 2011 as the preparation period; (2) July 2011 to June 2012 as the intervention period; and (3) July 2012 to June 2014 as the assessment period...
2015: PloS One
Baddr A Shakhsheer, Brian Bordini, Layth Abdulrasool, Raymon Grogan, Edwin Kaplan
INTRODUCTION: The most common cause of hyperthyroidism in children is graves' disease - an autoimmune disorder in which antibodies stimulate the thyrotropin receptor to signal growth thyroid gland by increasing thyroid hormone synthesis and release. It can be treated with medical therapy, radioactive iodine, or surgery. PRESENTATION OF CASE: JD was a two year old male who presented with severe diarrhea and diffuse neck enlargement. Laboratory work up was consistent with graves' disease...
2015: International Journal of Surgery Case Reports
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