{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T20:39:32Z","timestamp":1772138372017,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,5,29]],"date-time":"2015-05-29T00:00:00Z","timestamp":1432857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,5,29]],"date-time":"2015-05-29T00:00:00Z","timestamp":1432857600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To determine the safety and outcome of outpatient thyroid surgery in a small low\u2010surgical volume hospital. To evaluate clinical and social factors that may prohibit outpatient thyroid surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of all thyroid surgery performed at a low\u2010surgical volume hospital from August 2006 to July 2014. One\u2010hundred and sixty patients underwent thyroid surgery during the study period. Electronic medical records were reviewed for all patients. Data collection included demographic information, extent of thyroid surgery, length of hospital stay, laboratory\/pathology results, co\u2010morbidities, and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 160 patients who underwent thyroid surgery, 109 (68.1 %) were discharged on the day of surgery. Forty\u2010three patients (26.9 %) were admitted for 23\u2010h observation and eight patients (5 %) required full admission (longer than 24 h). Sixty\u2010one patients (38.1 %) underwent a total thyroidectomy, while 99 patients (61.9 %) underwent a hemithyroidectomy. Complications included four temporary recurrent laryngeal nerve (RLN) injuries (2.5 % patients\/1.8 % of total RLN at risk), one permanent RLN injury (0.63 % patients\/0.45 % of total RLN as risk), one temporary bilateral RLN injury (0.63 %), two delayed hematomas (1.3 %), and eight cases of transient hypocalcemia (5 %).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Outpatient thyroid surgery can be performed safely in a low\u2010surgical volume center. Reasons for a longer stay include clinical as well as social factors.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-015-3097-2","type":"journal-article","created":{"date-parts":[[2015,5,28]],"date-time":"2015-05-28T18:31:16Z","timestamp":1432837876000},"page":"2253-2258","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Outpatient Thyroid Surgery in a Low\u2010Surgical Volume Hospital"],"prefix":"10.1002","volume":"39","author":[{"given":"Marco Antonio","family":"Ayala","sequence":"first","affiliation":[{"name":"Otolaryngology\u2010Head and Neck Surgery Department Captain James A. Lovell Federal Health Care Center 3001 Green Bay Road 60064 North Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myron William","family":"Yencha","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2010Head and Neck Surgery Department Captain James A. Lovell Federal Health Care Center 3001 Green Bay Road 60064 North Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,29]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010010\u20100580\u20107"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812454401"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010008\u20100366\u20107"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(86)90315\u20106"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2011.01.023"},{"issue":"1","key":"e_1_2_7_7_2","first-page":"S1","article-title":"Outpatient thyroidectomy: safety and patients\u2019 satisfaction","volume":"41","author":"Sahmkow SI","year":"2012","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20866"},{"issue":"6","key":"e_1_2_7_9_2","first-page":"458","article-title":"Outpatient thyroid surgery in a Toronto community hospital","volume":"40","author":"Sklar M","year":"2011","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2009.12.037"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813477823"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.09.024"},{"issue":"3","key":"e_1_2_7_13_2","first-page":"182","article-title":"Outpatient thyroid surgery: should patients be discharged on the day of their procedures?","volume":"52","author":"Trottier DC","year":"2009","journal-title":"Can J Surg"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2013.0049"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23923"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199809000-00005"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2007.09.003"},{"key":"e_1_2_7_18_2","volume-title":"To err is human: building a safer health system","author":"Kohn LT","year":"1999"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2013.04.002"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010012\u20101682\u20101"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010012\u20101027\u20104"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1258\/0022215054798023"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814521583"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-015-3097-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-015-3097-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-015-3097-2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T23:23:58Z","timestamp":1703633038000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-015-3097-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,29]]},"references-count":22,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1007\/s00268-015-3097-2"],"URL":"https:\/\/doi.org\/10.1007\/s00268-015-3097-2","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,29]]}}}