Postoperative Recovery Advantages in Patients Undergoing Thyroid and Parathyroid Surgery Under Regional Anesthesia

Abstract

Thyroid or parathyroid surgery may be performed using general anesthesia or regional anesthesia. Ninety-five (95) patients underwent thyroid or parathyroid surgery using general anesthesia (n=64) or bilateral superficial cervical plexus block with sedation (n=31) and completed a postoperative questionnaire regarding the perioperative experience. Patients undergoing parathyroid surgery under regional anesthesia (n=24) were more likely to experience better energy levels (p=0.012) and earlier return to work (p=0.045) postoperatively. Overall, 96% of patients undergoing either type of surgery with either type of anesthetic reported satisfaction with the anesthetic.

Keywords

parathyroid surgery thyroid surgery general anesthesia regional anesthesia superficial cervical nerve block

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References

Lo Gerfo P. , Ditkoff BA , Chabot J. , Feind C. Thyroid surgery using monitored anesthesia care: an alternative to general anesthesia. Thyroid. 1994;4:437-439.

Arora N. , Dhar P. , Fahey TJ 3rd. Seminars: local and regional anesthesia for thyroid surgery. J Surg Oncol. 2006;94:708-713.

Sosa JA , Udelsman R. Minimally invasive parathyroidectomy. Surg Oncol. 2003;12:125-134.

Ditkoff BA , Chabot J. , Feind C. , Lo Gerfo P. Parathyroid surgery using monitored anesthesia care as an alternative to general anesthesia. Am J Surg. 1996;172:698-700.

Spanknebel K. , Chabot JA , DiGiorgi M. , et al. Thyroidectomy using local anesthesia: a report of 1,025 cases over 16 years. J Am Coll Surg. 2005;201:375-385.

Snyder SK , Roberson CR , Cummings CC , Rajab MH Local anesthesia with monitored anesthesia care vs. general anesthesia in thyroidectomy. Arch Surg. 2006;141:167-173.

Hochman M. , Fee WE Thyroidectomy under local anesthesia. Arch Otolaryngol Head Neck Surg. 1991;117:405-407.

Cohen MS , Finkelstein SE , Brunt LM , et al. Outpatient minimally invasive parathyroidectomy using local/regional anesthesia: a safe and effective operative approach for selected patients . Surgery. 2005;138:681-687.

Sprecht MC , Romero M. , Barden CB , Esposito C. , Fahey TJ 3rd. Characteristics of patients having thyroid surgery under regional anesthesia . J Am Coll Surg. 2001;193:367-372.

10.

Shindo ML , Rosenthal JM , Lee T. Minimally invasive parathyroidectomy using local anesthesia with intravenous sedation and targeted approaches. Otolaryngol Head Neck Surg . 2008;138:381-387.

11.

Spanknebel K. , Chabot JA , DiGiorgi M. , et al. Thyroidectomy using monitored local or conventional general anesthesia: an analysis of outpatient surgery, outcome and cost in 1,194 consecutive cases. World J Surg. 2006;30:813-824.

12.

Black MJ , Ruscher AE , Lederman J. , Chen H. Local/cervical block anesthesia versus general anesthesia for minimally invasive parathyroidectomy: what are the advantages? Ann Surg Oncol . 2007;14:744-749.