Raspanti C, Porrello C, Augello G, Dafnomili A, Rotolo G, Randazzo A, Falco N, Fontana T, Tutino R, Gulotta G
G Chir. 2017 Jan-Feb;38(1):15-22. doi: 10.11138/gchir/2017.38.1.015.
Although the surgical procedures concerning the thyroid and the parathyroid glands are considered safe, the possible occurrence of complications (mainly hematoma and hypocalcemia) limit the short stay surgery. At our institution a 23-hour-surgery with overnight hospital stay for endocrine neck surgical procedures was introduced since 2004. The present case series analyses the institutional results. Over 1913 endocrine neck surgery procedures, 1730 patients (90,2%) were managed according to this model. Among these patients, 92 suffered from hypocalcemia, 12 from airways obstruction due to the hematoma, 5 from bilateral nerve palsy. 15 more patients had unpredictable general disease compromising the short-stay surgery management. The goal of the discharge after 23 hours was achieved in 92,8% of cases with a mean hospital stay of 1,1days. The 23-hour observation with an overnight surgery is feasible and safe if the correct indications are observed. A considerable volume of specific activity is needed.
尽管涉及甲状腺和甲状旁腺的外科手术被认为是安全的，但并发症（主要是血肿和低钙血症）的可能发生限制了短期住院手术。自2004年以来，在我们机构引入了一种内分泌颈部手术23小时手术并过夜住院的模式。本病例系列分析了机构的结果。在1913例以上的内分泌颈部手术中，1730例患者（90.2%）按照该模式进行管理。在这些患者中，92例发生低钙血症，12例因血肿导致气道阻塞，5例出现双侧神经麻痹。另外15例患者患有不可预测的全身性疾病，影响了短期住院手术管理。92.8%的病例在23小时后实现了出院目标，平均住院时间为1.1天。如果遵循正确的指征，23小时观察并过夜手术是可行且安全的。这需要相当数量的特定活动。
