title: Same-day thyroidectomy program: eligibility and safety evaluation.
abstract: BACKGROUND
  Same-day thyroidectomy has not gained widespread acceptance owing to concerns of life-threatening complications. The aim of this study is to describe a single institution same-day thyroidectomy results.
  
  
  METHODS
  We included patients who underwent thyroid surgery between 2005 and 2011 by a single surgeon. The outcomes of patients who underwent inpatient (IP) and same-day thyroidectomy were compared. Routine postoperative parathyroid hormone testing for same-day thyroidectomy commenced in 2010, and results were also compared after that date.
  
  
  RESULTS
  Thyroid surgery was performed in 608 patients; 298 (49%) were performed as same-day thyroidectomy. Patients undergoing same-day thyroid lobectomy had similar, low documented complication rate as IP lobectomy. Patients with same-day total thyroidectomy (SDTT) had similar rates of documented transient hypocalcemia and neck hematoma compared with IPs. After 2010, all patients without restrictive underlying comorbidities were scheduled for same-day thyroidectomy unless otherwise specifically requested by the patient. Only 4 (3%) patients scheduled for SDTT were converted to IPs, all without neck complications.
  
  
  CONCLUSIONS
  Same-day thyroidectomy is safe and can be routinely performed by experienced surgeons who have low complication rates and a patient support system.
authors.affiliation: Section of Endocrine Surgery, Department of Surgery, University of Wisconsin, Madison, WI 53792, USA.
authors.forename: Haggi
authors.initials: H
authors.lastname: Mazeh
authors.forename: Qasim
authors.initials: Q
authors.lastname: Khan
authors.forename: David F
authors.initials: DF
authors.lastname: Schneider
authors.forename: Sarah
authors.initials: S
authors.lastname: Schaefer
authors.forename: Rebecca S
authors.initials: RS
authors.lastname: Sippel
authors.forename: Herbert
authors.initials: H
authors.lastname: Chen
mesh_terms: D000556:Ambulatory Surgical Procedures; D000768:Anesthesia, General; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D010281:Parathyroid Hormone / Q000097:blood; D018579:Patient Selection; D011183:Postoperative Complications; D013965:Thyroidectomy / Q000009:adverse effects
chemical_list: D010281:Parathyroid Hormone