Weill Cornell Medicine, New York, New York, USA.
Curr Opin Endocrinol Diabetes Obes. 2021 Oct 1;28(5):547-551. doi: 10.1097/MED.0000000000000672.
Although traditionally an inpatient procedure, outpatient thyroidectomy has gained traction as a viable and well tolerated alternative for selected patients, with an added benefit of cost savings.
Research on outpatient thyroidectomy has focused on establishing its noninferiority in outcomes compared to the standard inpatient or overnight observation. Numerous studies have found comparable low rates of postoperative complications and no increase in readmission. Selection criteria have been well established by professional societies and research studies support the selection bias benefitting appropriately selected patients. The primary benefit of outpatient thyroidectomy reported is a decrease in cost, though additional theoretical benefits such as decreased exposure to nosocomial infections.
Outpatient thyroidectomy is a well tolerated approach in appropriately selected candidates, with cost reduction benefits. Adherence to societal guidelines for patient selection is paramount.
尽管甲状腺切除术传统上是一种住院治疗的手术，但作为一种可行且可耐受的选择，已被越来越多的选定患者所接受，其附加的益处是节省成本。
甲状腺切除术的研究主要集中在确定其在与标准住院或过夜观察相比的结果方面的非劣效性。许多研究发现术后并发症发生率相似，且无再入院率增加。专业学会已经制定了明确的选择标准，研究支持选择偏向，使适当选择的患者受益。报告的甲状腺切除术门诊治疗的主要益处是降低成本，尽管还有其他理论上的益处，如减少医院感染的暴露。
门诊甲状腺切除术是一种在适当选择的患者中可耐受的方法，具有降低成本的益处。遵守社会指南对患者选择是至关重要的。
