Hemithyroidectomy using local or general anaesthesia: Results of a local regional hospital
Abstract
Aim
Thyroidectomy is commonly performed for benign and malignant diseases of the thyroid gland. We report our results of performing hemithyroidectomy under local anaesthesia (LA) or general anaesthesia (GA) in a local tertiary hospital.
Patients and Methods
Patients’ demographic data, operative time, length of hospital stay and complications were recorded. Multiple regression analyses were used to assess the risk-adjusted endpoints. The mean follow up was 12.6 months.
Results
From January 2010 to December 2014, 279 patients underwent hemithyroidectomy, of which 229 (82 per cent) were under GA. The mean age was 50.0 ± 14.6 years, and 238 (85 per cent) patients were female. In the univariate analysis, GA was associated with a longer operative time (99.3 vs 75.4 min, P = 0.011) and a longer hospital day (2.3 vs 1.4 days, P < 0.001). After adjusting for other covariates with multiple regression analyses, GA was still associated with a longer operative time by 16.1 min (P = 0.006) and a longer hospital stay by 1.15 days (P < 0.001). It had a higher complication rate (odds ratio = 3.26, P = 0.181), albeit not statistically significant.
Conclusions
Hemithyroidectomy under LA is associated with a shorter operative time and hospital stay, and is a safe and viable alternative to GA in selected patients.
