Outpatient surgical treatment in the solution of the thyroid gland conditions

Authors

Keywords:

outpatient surgery, thyroid gland, carcinoma.

Abstract

Introduction: Thyroid surgery is one of the most commonly performed procedures in otorhinolaryngology, and head and neck surgery. Traditionally, it presented hospital stays that were sometimes longer than 3 days.
Objective: To describe the results of major outpatient surgery in the solution of surgical conditions of the thyroid gland.
Methods: A descriptive study was carried out in 307 patients with thyroid gland disorders who received outpatient surgical treatment. A data collection model was created for the variables: age, sex, thyroid disease, type of surgical intervention, anesthetic method and complications, absolute and relative frequencies were calculated.
Results: The most frequent age group was between 30-39 years (32.57 %), females predominated (91.53 %). The most frequent thyroid conditions were adenomatous goiter (23.13 %) and carcinoma (20.85 %), the most frequent surgical intervention was total thyroidectomy (39.08 %), surgical acupuncture analgesia was applied in 39 patients (12.71 %), 8 patients presented postoperative complications (2.6 %). The hospital stay was less than 24 hours in 99.02 % of the patients.
Conclusions: Major outpatient surgery is used in the solution of surgical conditions of the thyroid gland, more frequent in benign conditions, in patients over 19 years of age, with a predominance of females, the surgical intervention performed with greater frequency is total thyroidectomy. The most frequent was general orotracheal anesthesia, reserving acupuncture surgical analgesia for selected cases.

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References

1. Pérez Fouces F, Rodríguez Ramírez R, Puertas Álvarez JF, González Rondón PL. Cirugía mayor ambulatoria en el servicio de cirugía general. Rev Cubana Cir. 2000 [acceso: 22/02/2022]; 39(3): 184-7. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932000000300002&lng=es

2. Recart A. Cirugía mayor ambulatoria. Una nueva forma de entender la medicina quirúrgica. Revista Médica Clínica Las Condes. 2017 [acceso: 22/01/2021]; 28(5): 682-90. Disponible en: https://www.sciencedirect.com/science/article/pii/S0716864017301256

3. De Andrés Gómez A, Villalba-Ferrer FL, Melero Abellán A, Ismail A, Gómez Contreras R, Navarro Moratalla C, et al. Cirugía mayor ambulatoria de la glándula tiroides y paratiroides. Resultados tras 6 años de experiencia. Rev Chil Cir. 2018 [acceso: 22/02/2022]; 70(6): 557-64. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262018000600557&lng=es

4. Forneiro Pérez R, Alcaide Lucena M, de Reyes Lartategui S, Gallart Aragón T, Sánchez Barrón MT, García Rubio MT, et al. Hemitiroidectomía en régimen de cirugía mayor ambulatoria. Resultados en un hospital de segundo nivel. Cir Andal. 2022 [acceso: 07/02/2022]; 33(1): 20-5. Disponible en: https://www.asacirujanos.com/admin/upfiles/revista/2022/Cir_Andal_vol3-3_n1_03.pdf

5. Lee DJ, Chin CJ, Hong CJ, Perera S, Witterick IJ. Outpatient versus inpatient thyroidectomy: A systematic review and meta-analysis. Head and Neck. 2018; 40(1): 192-202. DOI: 10.1002/hed.24934

6. Díaz A, Díaz J, Novoa J, Bustamante E, Postigo J. Resultados de la cirugía endoscópica de la glándula tiroides por vía transaxilar en Perú. Rev Med Hered. 2020; 31(4): 222-8. DOI: 10.20453/rmh.v31i4.3853

7. Solarana-Ortíz J, Lorenzo-Díaz J, Santiesteban-Collado N, Rodríguez-Pascual Y, Batista-Pérez R, Cuello-Bermúdez E. Caracterización de pacientes operados de la tiroides en los dos hospitales provinciales de Holguín. Correo Científico Médico. 2021 [acceso: 10/03/2022]; 25(4): [aprox. 7p]. Disponible en: http://revcocmed.sld.cu/index.php/cocmed/article/view/4048

8. Solarana-Ortíz J, Lorenzo-Díaz J, Santiesteban-Collado N, Batista-Pérez R. Implementación de una tipología de complicaciones relacionadas con la cirugía tiroidea. Correo Científico Médico. 2022 [acceso: 10/03/2022]; 26(1): [apox. 26 p.]. Disponible en: http://www.revcocmed.sld.cu/index.php/cocmed/article/view/4319

9. Medas F, Tuveri M, Canu GL, Erdas E, Calò PG . Complications after reoperative thyroid surgery: retrospective evaluation of 152 consecutive cases. Updates in Surgery. 2019; 71:705-10. DOI: 10.1007/s13304-019-00647-y

10. Grani G, Sponziello M, Pecce V, Ramundo V, Durante C. Contemporary Thyroid Nodule Evaluation and Management, The Journal of Clinical Endocrinology & Metabolism. 2020;105(9): 2869-83. DOI: 10.1210/clinem/dgaa322

11. Singh N. Evaluation of complications associated with thyroid surgery in patients. Int J Surg Sci. 2019; 3(4): 388-90. DOI: 10.33545/surgery.2019.v3.i4g.274

12. Almquist M, Ivarsson K, Nordenström E, Bergenfelz A. Mortality in patients with permanent hypoparathyroidism after total thyroidectomy, British Journal of Surgery. 2018; 105(10): 1313-18. DOI: 10.1002/bjs.10843

13. González Fernández R, Llapur González A, Pérez González D. Cirugía conservadora y tiroidectomía total en el cáncer tiroideo bien diferenciado. Rev. Cubana Cir. 2017 [acceso: 22/01/2021]; 56(4): [aprox. 15 p.]. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932017000400005&lng=es

14. Robayo Rodríguez JL. Escala HUNT para nódulo tiroideo: ayudando a determinar el riesgo de cáncer [Tesis para optar al título de Especialista en Cirugía General]. Bogotá: Universidad Nacional de Colombia; 2019. [acceso 10/03/2021]. Disponible en: https://repositorio.unal.edu.co/bitstream/handle/unal/75679/79733038.-2019.pdf?sequence=1&isAllowed=y

15. Scappaticcio L, Maiorino MI, Iorio S, Camponovo C, Piccardo A, Bellastella G, et al. Thyroid surgery during the COVID-19 pandemic: results from a systematic review. J Endocrinol Invest. 2022; 45(1):181-8. DOI: 10.1007/s40618-021-01641-1

16. Philippe JB, Lemoult A, Riou J, Sarfati-Lebreton M, Hamy A, Mucci S. Feasibility criteria for total thyroidectomy in outpatient surgery. In Annales d'Endocrinologie. 2019 [acceso: 15/02/2022]; 80(5-6): 286-92. Disponible en: https://www.sciencedirect.com/science/article/pii/S0003426619300903

17. Sosa MG, Ernand RS. Complicaciones derivadas de la tiroidectomía en el Hospital General "Calixto García". Rev Cubana Cir. 2016 [acceso: 22/03/2021]; 55(4): [aprox. 7 p.]. Disponible en: http://www.revcirugia.sld.cu/index.php/cir/article/view/443/210

18. Puerto Lorenzo J, Torres Ajá L, Cabanes Rojas E. Comportamiento de la enfermedad nodular tiroidea en la provincia de Cienfuegos. Revista Cubana de Cirugía. 2021 [acceso: 25/03/2022]; 60(4): [aprox. 7p]. Disponible en: http://www.revcirugia.sld.cu/index.php/cir/article/view/1174

19. Garot M, Caiazzo R, Andrieu G, Lebuffe G. Anestesia y reanimación en la cirugía de la glándula tiroidea. EMC-Anestesia-Reanimación. 2015 [acceso: 22/01/2021]; 41(4): 1-10. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1280470315738740

20. Silveira L, Manuel E, Arañó E, Elisa J. Cirugía mayor ambulatoria de tumores benignos de la glándula tiroides. MEDISAN. 2011 [acceso: 22/01/2021]; 15(5): 591-6. Disponible en: https://www.redalyc.org/articulo.oa?id=368445230004

21. Medina Martínez JE. Determinación de la incidencia de intubación difícil en los pacientes intervenidos de cirugía de tiroides. [Tesis de grado] México: Benemérita Universidad Autónoma de Puebla, Facultad de Medicina; 2018. [acceso: 22/01/2021]. Disponible en: https://repositorioinstitucional.buap.mx/bitstream/handle/20.500.1237-1/7781/516218T.PDF?sequence=1

22. Hernández García SH, Rodríguez Arencibia MA, Callava Coure C. Apuntes históricos sobre el surgimiento de la Medicina Natural y Tradicional en Pinar del Río, Cuba. Rev Ciencias Médicas. 2021 [acceso: 15/02/2022]; 25(1): e4654. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942021000100015&lng=es

23. Núñez E, Villalta-Morales L. Prevención de morbilidades post-tiroidectomía total y subtotal: una revisión bibliográfica. Rev Méd Hondur. 2021 [acceso: 18/01/2022]; 89(1): S1-68. Disponible en: https://revistamedicahondurena.hn/assets/Uploads/Vol89-S1-2021-13-2.pdf

24. Marín Velarde C. Neuromonitorización del nervio laríngeo superior y su importancia en la técnica quirúrgica. [Tesis Doctoral]. España: Universidad de Sevilla, Departamento docente de cirugía; 2017. [acceso: 21/03/2021]. Disponible en: https://idus.us.es/bitstream/handle/11441/75858/TESIS%20DOCTORAL-%20NLS%20Y%20NEUROMONITORIZACI%c3%93N.pdf?sequence=5&isAllowed=y

25. Medina Ruíz BA, Medina Izcurdia JJ, Medina Izcurdia BA, Martínez Vera RB, Martínez Vera PR, Izcurdia CE, et al. Anatomía Topográfica del Nervio Laríngeo Superior: Importancia Quirúrgica en las Tiroidectomías. Int. J. Morphol. 2020 [acceso: 18/01/2022]; 38(3): 766-73. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000300766&lng=es

26. Díaz-Samada RE, Valdés Bescosme E, CasinRodríguez SM, Reina Cruz CE, Rodríguez Hung S. Pacientes operados a causa de enfermedades nodulares de la tiroides. Univ Méd Pinareña. 2019 [acceso: 23/03/2022]; 15(1): 48-56. Disponible en: http://galeno.pri.sld.cu/index.php/galeno/article/view/587

27. Tian H, Pan J, Chen L, Wu Y. A narrative review of current therapies in unilateral recurrent laryngeal nerve injury caused by thyroid surgery. GlandSurg. 2022; 11(1): 270-278. DOI: 10.21037/gs-21-708

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Published

2022-06-10

How to Cite

1.
Lorda Galiano L, Navas Igarza JO, Hidalgo Herrera M, Rodríguez Fernández Y. Outpatient surgical treatment in the solution of the thyroid gland conditions. Rev Cubana Med Milit [Internet]. 2022 Jun. 10 [cited 2025 Apr. 19];51(2):e02202010. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2010

Issue

Vol. 51 No. 2 (2022): April - June

Section

Research Article

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