23 Saatlik/Günübirlik Hastanede Kalış Süresi ile Yapılan Tiroidektomi Vakalarımız ve Klinik Sonuçlarımız

Hakan Yabanoğlu

Research Article

Year 2019, Volume: 2 Issue: 2, 53 - 60, 31.08.2019

Hakan Yabanoğlu

Abstract

References

1.Tuggle CT, Roman S, Udelsman R, Sosa JA. Same-day thyroidectomy: a review of practice patterns and outcomes for 1,168 procedures in New York State. Ann Surg Oncol. 2011;18(4):1035–40. https://doi.org/10.1245/s10434-010-1398-0
2. Sun GH, DeMonner S, Davis MM. Epidemiological and economic trends in inpatient and outpatient thyroidectomy in the United States, 1996-2006. Thyroid. 2013;23(6):727–33. https://doi.org/10.1089/thy.2012.0218
3. British Association of Endocrine and Thyroid Surgeons. Fourth National Audit Report. Henley-on-Thames: Dendrite Clinical Systems. 2012.
4. Balentine CJ, Sippel RS. Outpatient Thyroidectomy: Is it Safe? Surg Oncol Clin N Am. 2016 Jan;25(1):61-75. https://doi.org/10.1016/j.soc.2015.08.003
5. Segel JM, Duke WS, White JR, Waller JL, Terris Det al. Outpatient thyroid surgery: Safety of an optimized protocol in more than 1,000 patients. Surgery. 2016;159(2):518-23. https://doi.org/10.1016/j.surg.2015.08.007
6. Perera AH, Patel SD, Law NW. Thyroid surgery as a 23-hour stay procedure. Ann R Coll Surg Engl. 2014;96(4):284-8. https://doi.org/10.1308/003588414X13814021679997
7. Steckler RM. Outpatient thyroidectomy: a feasibility study. Am J Surg. 1986;152:417-9. https://doi.org/10.1016/0002-9610(86)90315-6
8. Seybt MW, Terris DJ. Outpatient thyroidectomy: experience in over 200 patients. Laryngoscope. 2010 May;120(5):959-63. https://doi.org/10.1002/lary.20866.
9. Terris DJ, Snyder S, Carneiro-Pla D, et al. American Thyroid Association Surgical Affairs Committee Writing Task Force. American Thyroid Association Statement on Outpatient Thyroidectomy. Thyroid. 2013;23:1193-202. https://doi.org/10.1089/thy.2013.0049
10. Burkey SH, van Heerden JA, Thompson GB, et al. Reexploration for symptomatic hematomas after cervical exploration. Surgery. 2001;130:914–20. https://doi.org/10.1067/msy.2001.118384
11. Lang BH, Yih PC, Lo CY. A review of risk factors and timing for postoperative hematoma after thyroidectomy: is outpatient thyroidectomy really safe? World J Surg. 2012;36:2497-502. https://doi.org/10.1002/lary.20866 12. Doran H, England J, Palazzo F. BAETS Consensus Statement 2011: Day Case Thyroidectomy. London: BAETS; 2011. 13. Doran HE, Palazzo F. Day-case thyroid surgery. Br J Surg. 2012;99:741–3. https://doi.org/10.1002/bjs.8756
14. Pothier DD. The use of drains following thyroid and parathyroid surgery: a metaanalysis. J Laryngol Otol. 2005;119:669–71. https://doi.org/10.1258/0022215054798023 15. Pappalardo G, Guadalaxara A, Frattaroli FM, et al. Total compared with subtotal thyroidectomy in benign nodular disease: personal series and review of published reports. Eur J Surg. 1998;164:501–6. https://doi.org/10.1080/110241598750005840 16. Chow TL, Choi CY, Chiu AN. Postoperative PTH monitoring of hypocalcemia expedites discharge after thyroidectomy. Am J Otolaryngol. 2014;35:736-40. https://doi.org/10.1016/j.amjoto.2014.07.006
17. Puzziello A, Rosato L, Innaro N, et al. Hypocalcemia following thyroid surgery: incidence and risk factors. A longitudinal multicenter studycomprising 2,631 patients. Endocrine. 2014;47:537-42. https://doi.org/10.1007/s12020-014-0209-y
18. Carr AA, Yen TW, Fareau GG, et al. A single parathyroid hormone level obtained 4 hours after total thyroidectomy predicts the needfor postoperative calcium supplementation. J Am Coll Surg. 2014;219:757-64. https://doi.org/10.1016/j.jamcollsurg.2014.06.003
19. McHenry CR, Speroff T, Wentworth D, et al. Risk factors for postthyroidectomy hypocalcemia. Surgery. 1994;116:641–7.
20. Snyder SK, Hamid KS, Roberson CR et al. Outpatient thyroidectomy is safe and reasonable: experience with more than 1,000 planned outpatient procedures. J Am Coll Surg. 2010; 210:575-84. https://doi.org/10.1016/j.jamcollsurg.2009.12.037
21. Al-Qurayshi Z, Srivastav S, Kandil E. Comparison of inpatient and outpatient thyroidectomy: Demographic and economic disparities. Eur J Surg Oncol. 2016;42(7):1002-8. https://doi.org/10.1016/j.ejso.2016.03.010

23 Saatlik/Günübirlik Hastanede Kalış Süresi ile Yapılan Tiroidektomi Vakalarımız ve Klinik Sonuçlarımız

Year 2019, Volume: 2 Issue: 2, 53 - 60, 31.08.2019

Hakan Yabanoğlu

Abstract

Giriş:

Tiroidektomi
ameliyatları ayaktan veya kısa süreli hastane yatışı ile giderek artan
oranlarda uygulanmaya başlanmıştır. Yatarak tedavi edilen hastalar ile
karşılaştırıldığında bu uygulamaların daha uygun maliyette olduğu ve yatarak
tedavi edilen hastalar ile benzer oranlarda komplikasyon oranlarına sahip
oldukları gösterilmiştir. Bu çalışmada 23 saatlik/günübirlik hastane yatışı ile
tedavi edilen hastalarımızın klinik sonuçlarını sunmayı amaçladık.

Gereç ve Yöntemler:

Merkezimizde Ocak 2018
ve Şubat 2019 tarihleri arasında aynı cerrah tarafından toplam 157 hastaya total
tiroidektomi, hemitiroidektomi ve tamamlayıcı tiroidektomi uygulandı. Boyun diseksiyonu uygulanan 8 hasta ve
ameliyat sonrası erken dönemde komplikasyon (trakea yaralanmasına bağlı cilt
altı amfizem ve miyokard enfaktüsü) görülen 2 hasta çalışma dışı bırakıldı. 147
hastanın dosyaları geriye dönük olarak incelendi.

Sonuç:

Hastaların 125 (%85)
kadın, 22 (%15) erkek ve ortalama yaş 45 (19-88) idi. Ameliyat öncesi ince iğne
aspirasyon biyopsisi yapılan hastaların 44 (%29.9)' de foliküler neoplazi, 13
(%8.8)' de malignite, 5 (%3.4)' de benign sitoloji, 5 (%3.4)' de hurtle hücreli
neoplazi ön tanısı vardı. 55 (%37.4) hastaya biyopsi yapılmadı, 25 (%17)
hastada ise yetersiz sitoloji mevcuttu. Bu hastaların 126 (%85)' na total
tiroidektomi, 12 (%8.2)' ne tek taraflı tiroidektomi ve 9 (%6.1)' na
tamamlayıcı tiroidektomi uygulandı. 141
(%95.9) hastaya sinir nöromonitörizasyonu, 130 (%88.4) hastaya dren uygulandı.
Ortalama ameliyat süresi 62 (35-87) dakika idi. Ameliyat sonrası 10 (%6.8)
hastada geçici, 2 (%1.4) hastada kalıcı hipokalsemi, 2 (%1.4) hastada kalıcı, 1
(%0.7) hastada geçici recürren sinir hasarı oldu. Bir (%0.7) hastada erken
dönemde kanama oldu ve ameliyathanede hemostaz sağlandı. Ameliyat sonrası 1.
hafta poliklinik kontrolünde 3 (%2) hastada seroma görüldü. Ameliyat sonrası
patolojik tanıya bakıldığında 85 (%57.8) hastada malignite görüldü. 42 (%28.6)
hastaya radyoaktif iyot tedavisi uygulandı.

Tartışma:

Tiroidektomi kısa
süreli hastane yatışı ile güvenli ve düşük komplikasyon oranlarıyla
uygulanabilmektedir.

Keywords

Tiroidektomi, Hipokalsemi, Kanama

References

1.Tuggle CT, Roman S, Udelsman R, Sosa JA. Same-day thyroidectomy: a review of practice patterns and outcomes for 1,168 procedures in New York State. Ann Surg Oncol. 2011;18(4):1035–40. https://doi.org/10.1245/s10434-010-1398-0
2. Sun GH, DeMonner S, Davis MM. Epidemiological and economic trends in inpatient and outpatient thyroidectomy in the United States, 1996-2006. Thyroid. 2013;23(6):727–33. https://doi.org/10.1089/thy.2012.0218
3. British Association of Endocrine and Thyroid Surgeons. Fourth National Audit Report. Henley-on-Thames: Dendrite Clinical Systems. 2012.
4. Balentine CJ, Sippel RS. Outpatient Thyroidectomy: Is it Safe? Surg Oncol Clin N Am. 2016 Jan;25(1):61-75. https://doi.org/10.1016/j.soc.2015.08.003
5. Segel JM, Duke WS, White JR, Waller JL, Terris Det al. Outpatient thyroid surgery: Safety of an optimized protocol in more than 1,000 patients. Surgery. 2016;159(2):518-23. https://doi.org/10.1016/j.surg.2015.08.007
6. Perera AH, Patel SD, Law NW. Thyroid surgery as a 23-hour stay procedure. Ann R Coll Surg Engl. 2014;96(4):284-8. https://doi.org/10.1308/003588414X13814021679997
7. Steckler RM. Outpatient thyroidectomy: a feasibility study. Am J Surg. 1986;152:417-9. https://doi.org/10.1016/0002-9610(86)90315-6
8. Seybt MW, Terris DJ. Outpatient thyroidectomy: experience in over 200 patients. Laryngoscope. 2010 May;120(5):959-63. https://doi.org/10.1002/lary.20866.
9. Terris DJ, Snyder S, Carneiro-Pla D, et al. American Thyroid Association Surgical Affairs Committee Writing Task Force. American Thyroid Association Statement on Outpatient Thyroidectomy. Thyroid. 2013;23:1193-202. https://doi.org/10.1089/thy.2013.0049
10. Burkey SH, van Heerden JA, Thompson GB, et al. Reexploration for symptomatic hematomas after cervical exploration. Surgery. 2001;130:914–20. https://doi.org/10.1067/msy.2001.118384
11. Lang BH, Yih PC, Lo CY. A review of risk factors and timing for postoperative hematoma after thyroidectomy: is outpatient thyroidectomy really safe? World J Surg. 2012;36:2497-502. https://doi.org/10.1002/lary.20866 12. Doran H, England J, Palazzo F. BAETS Consensus Statement 2011: Day Case Thyroidectomy. London: BAETS; 2011. 13. Doran HE, Palazzo F. Day-case thyroid surgery. Br J Surg. 2012;99:741–3. https://doi.org/10.1002/bjs.8756
14. Pothier DD. The use of drains following thyroid and parathyroid surgery: a metaanalysis. J Laryngol Otol. 2005;119:669–71. https://doi.org/10.1258/0022215054798023 15. Pappalardo G, Guadalaxara A, Frattaroli FM, et al. Total compared with subtotal thyroidectomy in benign nodular disease: personal series and review of published reports. Eur J Surg. 1998;164:501–6. https://doi.org/10.1080/110241598750005840 16. Chow TL, Choi CY, Chiu AN. Postoperative PTH monitoring of hypocalcemia expedites discharge after thyroidectomy. Am J Otolaryngol. 2014;35:736-40. https://doi.org/10.1016/j.amjoto.2014.07.006
17. Puzziello A, Rosato L, Innaro N, et al. Hypocalcemia following thyroid surgery: incidence and risk factors. A longitudinal multicenter studycomprising 2,631 patients. Endocrine. 2014;47:537-42. https://doi.org/10.1007/s12020-014-0209-y
18. Carr AA, Yen TW, Fareau GG, et al. A single parathyroid hormone level obtained 4 hours after total thyroidectomy predicts the needfor postoperative calcium supplementation. J Am Coll Surg. 2014;219:757-64. https://doi.org/10.1016/j.jamcollsurg.2014.06.003
19. McHenry CR, Speroff T, Wentworth D, et al. Risk factors for postthyroidectomy hypocalcemia. Surgery. 1994;116:641–7.
20. Snyder SK, Hamid KS, Roberson CR et al. Outpatient thyroidectomy is safe and reasonable: experience with more than 1,000 planned outpatient procedures. J Am Coll Surg. 2010; 210:575-84. https://doi.org/10.1016/j.jamcollsurg.2009.12.037
21. Al-Qurayshi Z, Srivastav S, Kandil E. Comparison of inpatient and outpatient thyroidectomy: Demographic and economic disparities. Eur J Surg Oncol. 2016;42(7):1002-8. https://doi.org/10.1016/j.ejso.2016.03.010

There are 17 citations in total.

Details

Primary Language	Turkish
Subjects	Surgery
Journal Section	Articles
Authors	Hakan Yabanoğlu 0000-0002-1161-3369
Publication Date	August 31, 2019
Acceptance Date	July 19, 2019
Published in Issue	Year 2019 Volume: 2 Issue: 2

Cite

APA	Yabanoğlu, H. (2019). 23 Saatlik/Günübirlik Hastanede Kalış Süresi ile Yapılan Tiroidektomi Vakalarımız ve Klinik Sonuçlarımız. Journal of Cukurova Anesthesia and Surgical Sciences, 2(2), 53-60.

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