Abstract:
INTRODUCTION:The recent reintroduction of local/regional anesthesia (LRA) for thyroidectomy has enabled this intervention to be performed in the outpatient setting. The aim of this study was to compare the results of thyroidectomy using two anesthesia methods. PATIENTS AND METHODS:One hundred twenty-five patients requiring thyroidectomy and who met the criteria for outpatient surgery were prospectively selected. The patients were offered LRA plus sedation; patients who did not accept this option were offered LRA combined with orotracheal intubation (CLRA). LRA was accepted by 58 patients and CLRA by 67. Age, sex, anesthesia risk, body mass index, and thyroid function were similar in both groups. Postoperative vomiting, pain at discharge, need for admission, postoperative morbidity, and complaints occurring at home were evaluated. RESULTS:Sixty-one bilateral and 64 unilateral thyroidectomies were performed, with no statistically significant difference between the two groups. There were no differences in surgical time, conversion to general anesthesia, intraoperative events, pathological diagnosis, or size and weight of the surgical specimen. The only difference between the two groups was the hour of discharge (LRA: 6.5 +/- 1.2 hours; CLRA: 7.76 +/- 2.07 hours; p = 0.0003). The admission rate was higher in the CLRA group (22.4%) than in the LRA group (8.62%); this difference was not statistically significant (p = 0.06) and the main cause was personal preference in patients in the CLRA group. Rates of postoperative morbidity, vomiting (7.2%) and nausea (6.4%), postoperative pain (2.47 +/- 1.85 on a visual analog scale), and analgesic requirements showed no differences between the two groups. One patient in the LRA group developed a noncompressive asymptomatic neck hematoma 36 hours after discharge. The patient was admitted for observation but did not require reoperation. Complaints occurring at home were minor. Satisfaction with the procedure was high or very high in 95% of the patients, with no differences between the two groups. CONCLUSIONS:In selected patients, outpatient thyroidectomy is safe and produces good patient satisfaction. Both anesthesia methods were valid, but postoperative recovery was faster with LRA than with CLRA.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Sánchez-Blanco JM,Recio-Moyano G,Guerola-Delgado A,Gómez-Rubio D,Jurado-Jiménez R,Torres-Arcos Cdoi
10.1016/s0009-739x(06)70959-9subject
Has Abstractpub_date
2006-10-01 00:00:00pages
206-13issue
4eissn
0009-739Xissn
1578-147Xpii
13093229journal_volume
80pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract:INTRODUCTION:Bariatric surgery is one of the most common surgical practices in Spain. However, this procedure currently has longest delay on surgical waiting lists (SWL). We have developed a special surgical program that aims to reduce this waiting list and to assess the economic and clinical repercussions in a high-vo...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.05.033
更新日期:2020-07-13 00:00:00
abstract:INTRODUCTION:The classic treatment of Zenker's diverticulum (ZD) has been cricopharyngeal myotomy (CPM), with the need or not to resect it being argued (diverticulectomy versus diverticulopexy). However, the advance of endoscopic techniques requires new treatment strategies to be established. We analyse the complicatio...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2011.09.001
更新日期:2012-04-01 00:00:00
abstract:UNLABELLED:Mucocele of the appendix is a very uncommon disease estimated to be seen in 0.2-0.3% of all appendectomies (0.28% in our series). The term "mucocele" means dilation of the appendix due to mucus, caused either by a benign process or a malignant one (cystadenoma or adenocarcinoma). MATERIAL AND METHODS:We pre...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.07.020
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Enhanced recovery after surgery (ERAS) has demonstrated in colorectal surgery a reduction in morbidity and length of stay without compromising security. Experience with ERAS programs in pancreatoduodenectomy (PD) is still limited. The aims of this study were first to evaluate the applicability of an ERAS pro...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2015.04.009
更新日期:2015-10-01 00:00:00
abstract::Periodic endoscopic follow-up is recommended after the diagnosis of Barrett's oesophagus, particularly in patients with dysplasia. The new endoscopic techniques show promising results in identifying areas suspected of housing high grade dysplasia and adenocarcinoma. Endoscopic resection of the mucosa has become a fund...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2009.01.026
更新日期:2009-06-01 00:00:00
abstract:INTRODUCTION:We prospectively evaluated health-related quality of life (HRQoL) through the gastrointestinal quality of life index (GIQLI) as a system to prioritize patients on the waiting list for laparoscopic cholecystectomy (LC) and its correlation with a linear prioritization system developed in the General and Gast...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2012.07.021
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION:Currently, there is growing interest in analyzing the results from surgical units and the implementation of quality standards in order to identify good healthcare practices. Due to this fact, the Spanish Association of Coloproctology (AECP) has developed a unit accreditation program that contemplates basic...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2018.02.008
更新日期:2018-04-01 00:00:00
abstract:INTRODUCTION:Most patients with ischemic colitis have a favourable evolution; nevertheless, the location in the right colon has been associated with a worse prognosis. The purpose of this study is to compare the clinical presentation and results of right colon ischemic colitis (CICD) with ischemic colitis of other colo...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.12.002
更新日期:2021-01-20 00:00:00
abstract:INTRODUCTION:Anal intraepithelial neoplasia is a precursor condition of squamous anal carcinoma. The groups at risk of this lesion are patients with anogenital condylomata, cervical dysplasia, human immunodeficiency virus infection and, in general, patients with HPV infection. The aim of this study was to analyse the r...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2008.12.008
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVE:The aim of this study was the prospective evaluation of the functional results of a series endorectal advancement flaps in the treatment of complex anal fistulas. MATERIAL AND METHODS:A total of 90 patients were operated on for a complex anal fistula by means of fistulectomy and endorectal advancement flap. ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.03.005
更新日期:2009-10-01 00:00:00
abstract:INTRODUCTION:Mucin-producing pancreatic tumors account for 1% of all malignant tumors of the pancreas. Notable among these are intraductal papillary mucinous neoplasms of the pancreas, due to their variable clinical behavior, increased frequency, and the controversy surrounding the most suitable treatment and diagnosti...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(05)70850-2
更新日期:2005-05-01 00:00:00
abstract::Endobronchial lipoma is a very rare benign tumor. The most frequent clinical presentation is caused by airway obstruction. A computed tomography finding of a homogeneous mass with fat density not enhanced by intravenous contrast material is considered diagnostic of this kind of tumor. The definitive diagnosis is given...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(06)70933-2
更新日期:2006-08-01 00:00:00
abstract:INTRODUCTION:The aim of this study is to evaluate the usefulness of Vicryl Plus(®) suture in reducing the rate of postoperative wound infection in elective colorectal surgery. METHODS:A prospective case-control multicenter study with 480 patients undergoing elective colorectal surgery was performed between 2006 and 20...
journal_title:Cirugia espanola
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ciresp.2013.07.017
更新日期:2014-08-01 00:00:00
abstract:INTRODUCTION:The impact of neoadjuvant treatment on the postoperative complications in stomach cancer is a subject of controversy. The aim of this study is to analyse the post-surgical morbidity and mortality in a group of patients who were treated using a chemoradiotherapy protocol before surgery, as well as to identi...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.08.005
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To experimentally study the behaviour of 4 types of monofilament with 3 knotting techniques, very often used in surgery, employing mechanical tests. MATERIAL AND METHODS:Four 4/0 monofilaments were chosen, two of nylon, and the other two of polypropylene. Three types of knot designs were made with each threa...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2012.02.001
更新日期:2012-06-01 00:00:00
abstract:INTRODUCTION:Performing intracorporeal anastomoses and sutures is possibly the technique that requires the greatest skill in laparoscopic surgery. The appearance of the new barbed sutures in recent years has seemed to facilitate this surgical step. The aim of our study is to evaluate short-term results in patients with...
journal_title:Cirugia espanola
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ciresp.2019.10.002
更新日期:2020-03-01 00:00:00
abstract::Autoimmune pancreatitis (AIP) is defined as a particular form of pancreatitis that often manifests as obstructive jaundice associated with a pancreatic mass or an obstructive bile duct lesion, and that has an excellent response to corticosteroid treatment. The prevalence of AIP worldwide is unknown, and it is consider...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2014.01.013
更新日期:2014-12-01 00:00:00
abstract:INTRODUCTION:Up to 93% of patients undergoing abdominal surgery will develop intra-abdominal adhesions with the subsequent morbidity that they represent. Various substances have been tested for the prevention of adhesions with controversial results; the aim of our study is to compare the capability of pirfenidone in ad...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2015.06.005
更新日期:2016-01-01 00:00:00
abstract::Granular cell tumor is a very rare entity (0.03%) with controversial management, due to its low incidence and its usually benign behavior (98%). Its location in the digestive tract is unusual (3-11%), being the esophagus the most frequently affected organ, with about 400 published cases. However, the incidence in the ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.09.009
更新日期:2020-10-22 00:00:00
abstract::The prognosis of patients with rectal cancer has improved in recent years, particularly as regards the lower probability of local recurrence. These positive results are obtained through correct preoperative staging and an adequate surgical resection of the affected lesion, as well as a multidisciplinary therapeutic ap...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.03.004
更新日期:2010-06-01 00:00:00
abstract:INTRODUCTION:The pancreatic fistula is the most feared complication after a duodenopancreatectomy, and is the most common independent factor of post-surgical mortality. Peng et al. recently published a pancreaticojejunal anastomosis technique (binding anastomosis) which showed 0% pancreatic fistulas. The objective of t...
journal_title:Cirugia espanola
pub_type: 临床试验,杂志文章
doi:10.1016/j.ciresp.2012.04.010
更新日期:2013-03-01 00:00:00
abstract:INTRODUCTION:Infections caused by carbapenemase-producing Enterobacteriaceae (CPE) are dramatically increasing worldwide, with an important impact on surgical patients. Our aim was to assess the clinical profile, outcomes, treatment, mortality and costs of CPE-related surgical site infection (SSI) in patients with abdo...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2019.11.006
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION:The hepatic cystic tumour is a very rare neoplasm, representing about 5% of all cystic liver neoplasms. The preoperative diagnosis is difficult and can lead to confusion. The aim of this study is to analyze a number of cases operated at our centre with an histologic diagnosis of liver cystic neoplasms and ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.04.007
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:Surgery is one of the high-risk areas for the occurrence of adverse events (AE). The purpose of this study is to know the percentage of hospitalisation-related AE that are detected by the «Global Trigger Tool» methodology in surgical patients, their characteristics and the tool validity. MATERIAL AND METH...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2014.08.007
更新日期:2015-02-01 00:00:00
abstract::It is accepted by the surgical community that laparoscopic cholecystectomy (LC) is the technique of choice in the treatment of symptomatic cholelithiasis. However, more controversial is the standardization of system implementation in Ambulatory Surgery because of its different different connotations. This article aims...
journal_title:Cirugia espanola
pub_type: 历史文章,杂志文章,评审
doi:10.1016/j.ciresp.2015.03.012
更新日期:2016-10-01 00:00:00
abstract::Beyond the type of design or the statistical analysis applied, the credibility of a research study lies in the compatibility of its results with the intensity that the reader could accept that the phenomenon studied might have from a biological point of view. Ultimately this requires a value judgment. The present arti...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(05)70953-2
更新日期:2005-12-01 00:00:00
abstract:INTRODUCTION:The aim of this study was to evaluate the applicability, safety and efficacy of an ambulatory treatment protocol in patients with uncomplicated acute diverticulitis. PATIENTS AND METHODS:All patients diagnosed with uncomplicated acute diverticulitis based on abdominal computed tomography findings during a...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(06)70989-7
更新日期:2006-12-01 00:00:00
abstract:INTRODUCTION:It has been shown that procalcitonin (PCT) is a good marker for sepsis as the more severe the infection the higher the plasma levels. The Mannheim peritonitis index (MPI) is very effective in assessing the prognosis of secondary peritonitis. The aim of this study is to find out whether there is any correla...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.02.007
更新日期:2009-07-01 00:00:00
abstract:INTRODUCTION:SARS-CoV-2 pandemic has caused an important impact in our country and elective surgery has been postponed in most cases. There's not known information about the decreasing and impact on surgery. Mortality of surgical patients with SARS-CoV-2 infection is estimated to be around 20%. METHODS:We conducted pr...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.07.013
更新日期:2020-08-04 00:00:00
abstract:INTRODUCTION:Gastrointestinal stromal tumours (GIST) make up 2% of gastrointestinal tumours. Surgery is the only treatment method in localised cases. The laparoscopic approach has increased over the last few years. We present our experience in the treatment of GIST. MATERIAL AND METHODS:A total of 40 patients with 45 ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2012.04.011
更新日期:2013-01-01 00:00:00