Steckler R M
Department of Surgery, Humana Hospital-Medical City Dallas, Texas.
Am J Surg. 1991 Oct;162(4):303-5. doi: 10.1016/0002-9610(91)90136-2.
Encouraged by the success of outpatient thyroid surgery, we have performed outpatient parotidectomy in more than 56 selected patients during the past 5 years. As a result of the success of the procedure and the enthusiastic patient response, the proportion of parotid operations performed on an inpatient basis has declined in the latter part of the series. The indication for surgery in virtually all cases was a mass in the parotid gland. The surgical technique used for inpatient or outpatient parotidectomy was the same. If a diagnosis of carcinoma was made based on frozen section examination, definitive surgery was performed, and the patient was admitted to the hospital. Postoperative interviews were conducted with all patients who had outpatient parotid surgery. There was almost uniform patient satisfaction with the performance of the procedure on an outpatient basis. Outpatient parotid surgery permits more efficient use of hospital facilities and more effective use of the surgeon's time. Outpatient parotid surgery was found to be a safe, cost-effective procedure, convenient for both the patient and the surgeon in selected patients.
受门诊甲状腺手术成功的鼓舞，在过去5年里，我们对56例以上选定患者实施了门诊腮腺切除术。由于手术的成功以及患者的积极反馈，在该系列的后期，住院进行腮腺手术的比例有所下降。几乎所有病例的手术指征都是腮腺肿物。用于住院或门诊腮腺切除术的手术技术相同。如果根据冰冻切片检查确诊为癌，则进行确定性手术，患者需住院。我们对所有接受门诊腮腺手术的患者进行了术后访谈。患者对门诊进行该手术的满意度几乎一致。门诊腮腺手术能更有效地利用医院设施，更有效地利用外科医生的时间。结果发现，门诊腮腺手术是一种安全、性价比高的手术，对选定患者而言，对患者和外科医生都很方便。
