Abstract
Background and aims
Partial thyroidectomy under local anaesthesia was performed in 49 subsequent individuals in the Central African Republic. Because of the shortage of medical resources, all patients with goitre were scheduled for an operation under local anaesthesia.
Materials and methods
There were no inclusion or exclusion criteria applied for patient selection for the procedure. Before the operation, patients had received an oral sedation and antibiotic. For infiltration anaesthesia, 1% lignocaine was used.
Results
Subtotal bilateral thyroidectomy was performed in 37 patients; 12 patients underwent lobectomy or partial lobectomy of the affected portion of the gland. There were no intraoperative complications in any of the patients. The mean time of the procedure averaged 127 min. There were no postoperative complications noticed in the reported group, and this includes also complications related to laryngeal nerve injury. General condition of the operated on patients allowed for full self-dependency within 4 to 6 h postoperatively. Patients remained under medical surveillance for mean 3 days, and cutaneous stitches were removed on the first postoperative day. General condition of all patients on the day of discharge from hospital was good.
Conclusion
Surgery for goitre under local anaesthesia may be a safe alternative where general anaesthesia is not available or contraindicated for medical reasons.
Similar content being viewed by others
References
Vellar ID (1999) Thomas Peel Dunhill: pioneer thyroid surgery. ANZ J Surg 69:375–387
Cunningham IG, Lee YK (1975) The management of solitary thyroid nodules under local anaesthesia. ANZ J Surg 45:285–289
Manopo AE (1977) Resection of an unusually large goitre. Br J Surg 64:158–159
Hochmann M, Fee WE (1991) Thyroidectomy under local anesthesia. Arch Otolaryngol Head Neck Surg 117:405–407
Spanknebel K, Chabot JA, DiGiorgi M, Cheung K, Lee S, Allendorf J, Logerfo P (2005) Thyroidectomy using local anesthesia: a report of 1025 cases over 16 years. J Am Coll Surg 201:375–385
Hisham AN, Aina EN (2002) A reappraisal of thyroid surgery under local anaesthesia: back to the future? ANZ J Surg 72:287–289
Snyder SK, Roberson CR, Cummings CC, Rajab MH (2006) Local anesthesia with monitored anesthesia care vs general anesthesia in thyroidectomy. Arch Surg 141:167–173
Lo Gerfo P (1998) Local/regional anesthesia for thyroidectomy: evaluation as an outpatient procedure. Surgery 124:975–979
Spanknebel K, Chabot JA, DiGiorgi M, Cheung K, Lee S, Allendorf J, Logerfo P (2006) Thyroidectomy using monitored local or conventional general anesthesia: an analysis of outpatient surgery, outcome and cost in 1194 consecutive cases. World J Surg 30:813–824
Ishiguro K, Ohgi S (2002) Minimally invasive parathyroidectomy under local anesthesia. Biomed Pharmacother 56(Suppl 1):31s–33s
Monchik JM, Barellin L, Langer P, Kahya A (2002) Minimally invasive parathyroid surgery in 103 patients with local/regional anaesthesia, without exclusion criteria. Surgery 131:502–508
Lombardi CP, Raffaeli M, Modesti C, Boscherini M, Bellantone R (2004) Video-assisted thyroidectomy under local anesthesia. Am J Surg 187:515–518
Schwartz AE, Clark OH, Ituarte P, Lo Gerfo P (1998) Therapeutic controversy: thyroid surgery: the choice. J Clin Endocrinol Metab 83:1097–1105
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Banasiewicz, T., Meissner, W., Pyda, P. et al. Partial thyroidectomy under local anaesthesia—the analysis of 49 subsequent cases. Langenbecks Arch Surg 393, 715–719 (2008). https://doi.org/10.1007/s00423-008-0345-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00423-008-0345-z