Ziegler Andrea, Lazzara Gina, Thorpe Eric
Resident, Department of Otolaryngology, Loyola University Medical Center, Maywood, IL.
Medical Student, Stritch School of Medicine, Maywood, IL.
J Oral Maxillofac Surg. 2018 Nov;76(11):2433-2436. doi: 10.1016/j.joms.2018.04.032. Epub 2018 May 7.
Given the increasing costs of medical care, there has been a shift to outpatient elective surgeries in certain patient populations among all surgical specialties. The goal of this study was to compare the safety and efficacy of outpatient parotidectomy with traditional inpatient parotidectomy.
This is a retrospective chart review of all patients who underwent a parotidectomy at a single tertiary academic center from 2007 through 2017.
There were 568 patients who met the inclusion criteria. There was no difference in demographics or patient comorbidities between the inpatient and outpatient groups. There was no increased incidence of postoperative complications or extent of postoperative care in patients who underwent outpatient parotidectomy. On average at the authors' institution, the direct outpatient parotidectomy cost was $1,200 less than the inpatient equivalent.
Outpatient parotidectomy can be performed safely and cost effectively with no increased risk of complications.
鉴于医疗费用不断上涨，所有外科专业中某些患者群体已转向门诊择期手术。本研究的目的是比较门诊腮腺切除术与传统住院腮腺切除术的安全性和有效性。
这是一项对2007年至2017年在单一三级学术中心接受腮腺切除术的所有患者的回顾性病历审查。
有568例患者符合纳入标准。住院组和门诊组在人口统计学或患者合并症方面没有差异。接受门诊腮腺切除术的患者术后并发症发生率或术后护理范围没有增加。在作者所在机构，门诊腮腺切除术的直接费用平均比住院手术少1200美元。
门诊腮腺切除术可以安全、经济有效地进行，且并发症风险不会增加。
