American Thyroid Association statement on outpatient thyroidectomy

Thyroid. 2013 Oct;23(10):1193-202. doi: 10.1089/thy.2013.0049. Epub 2013 Sep 14.


Background: The primary goals of this interdisciplinary consensus statement are to define the eligibility criteria for outpatient thyroidectomy and to explore preoperative, intraoperative, and postoperative factors that should be considered in order to optimize the safe and efficient performance of ambulatory surgery.

Summary: A series of criteria was developed that may represent relative contraindications to outpatient thyroidectomy, and these fell into the following broad categories: clinical, social, and procedural issues. Intraoperative factors that bear consideration are enumerated, and include choice of anesthesia, use of nerve monitoring, hemostasis, management of the parathyroid glands, wound closure, and extubation. Importantly, postoperative factors are described at length, including suggested discharge criteria and recognition of complications, especially bleeding, airway distress, and hypocalcemia.

Conclusions: Outpatient thyroidectomy may be undertaken safely in a carefully selected patient population provided that certain precautionary measures are taken to maximize communication and minimize the likelihood of complications.

Publication types

  • Practice Guideline

MeSH terms

  • Ambulatory Care*
  • Consensus
  • Contraindications
  • Eligibility Determination*
  • Humans
  • Hypocalcemia / etiology
  • Hypocalcemia / prevention & control
  • Intraoperative Complications / prevention & control
  • Parathyroid Glands / pathology
  • Postoperative Complications / prevention & control
  • Societies, Scientific
  • Thyroid Diseases / pathology
  • Thyroid Diseases / surgery*
  • Thyroidectomy / adverse effects
  • Thyroidectomy / methods*
  • United States
  • Vocal Cord Dysfunction / etiology
  • Vocal Cord Dysfunction / prevention & control