Su Duntao, Li Xinying, Zhang Zeyu, Xia Fada
Department of Thyroid Surgery, Department of General Surgery, Xiangya Hospital, Central South University, 87 Xiangya Rd, Changsha, 410008, Hunan, China.
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Updates Surg. 2025 Jun 21. doi: 10.1007/s13304-025-02287-x.
To compare the safety, efficacy, and economic outcomes of ambulatory with inpatient gasless trans-axillary endoscopic unilateral thyroidectomy (GTEUT).
Data were collected from patients who underwent GTEUT in the day surgery or inpatient wards of Xiangya Hospital, Central South University, between January 1, 2021, and January 1, 2024. All surgeries were performed by the same experienced surgical team, using identical inclusion and exclusion criteria.
A total of 458 patients were included in the study, with 322 in the ambulatory GTEUT group and 136 in the inpatient GTEUT group. The overall incidence of postoperative complications was lower in the ambulatory GTEUT group (7.76%) compared to the inpatient GTEUT group (10.29%), although the difference was not statistically significant. Hospitalization expenses in the ambulatory GTEUT group were reduced by approximately 29% compared to the inpatient group, with a statistically significant difference (p < 0.001). The length of hospital stay was significantly shorter for ambulatory group, who were discharged within 24 h (1.01 ± 0.10 days) compared to the inpatient group (5.76 ± 1.64 days) (p < 0.001). Anxiety and depression levels were higher in the ambulatory GTEUT group compared to the inpatient group, with the difference being statistically significant.
Ambulatory GTEUT is a safe alternative to inpatient surgical methods. It offers the advantages of shorter hospital stays and improved economic benefits. However, the mental health of patients undergoing daytime surgeries requires further attention.
比较非住院与住院无气经腋窝内镜单侧甲状腺切除术（GTEUT）的安全性、有效性和经济结果。
收集2021年1月1日至2024年1月1日在中南大学湘雅医院日间手术或住院病房接受GTEUT的患者数据。所有手术均由同一经验丰富的手术团队进行，采用相同的纳入和排除标准。
本研究共纳入458例患者，其中非住院GTEUT组322例，住院GTEUT组136例。非住院GTEUT组术后并发症总发生率（7.76%）低于住院GTEUT组（10.29%），尽管差异无统计学意义。非住院GTEUT组的住院费用比住院组减少了约29%，差异有统计学意义（p < 0.001）。非住院组的住院时间明显更短，在24小时内出院（1.01±0.10天），而住院组为（5.76±1.64天）（p < 0.001）。非住院GTEUT组的焦虑和抑郁水平高于住院组，差异有统计学意义。
非住院GTEUT是住院手术方法的一种安全替代方案。它具有住院时间短和经济效益提高的优点。然而，日间手术患者的心理健康需要进一步关注。
