Ambulatory thyroidectomy is safe and beneficial in papillary thyroid carcinoma: Randomized controlled trial. Issue 4 (28th November 2020)

• Record Type: Journal Article
• Authors: Zhang, Zeyu; Xia, Fada; Wang, Wenlong; Jiang, Bo; Yao, Lei; Huang, Yun; Li, Xinying
• Is Part Of: Head & neck. Volume 43:Issue 4(2021)
• Page Start: 1116
• Page End: 1121
• Publication Date: 2020-11-28
• Subjects: ambulatory surgery -- papillary thyroid carcinoma -- postoperative complication -- thyroidectomy; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.26557
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: Currently, no randomized controlled trial has been performed to investigate the safety profiles, economic benefit and mental health of ambulatory thyroidectomy in patients with papillary thyroid carcinoma (PTC). Methods: Patients diagnosed with PTC were enrolled in this study and were randomly assigned to ambulatory group and control group. The safety profiles, economic benefit and mental health were investigated. Results: Four hundred and eleven patients completed the study. There was no significant difference in demographic or tumor index. The incidence of complications was not significantly different ( P = .631). The economic cost was significantly lower ( P < .001) and hospitalization was significantly shorter ( P < .001) in ambulatory group. No significant difference was shown in depression ( P = .758) and stress disorder ( P = .390). However, the ambulatory group showed a higher point of anxiety ( P < .001). Conclusion: The ambulatory thyroidectomy is safe in patients with PTC, with significant benefits of economic cost and hospitalization.