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2011 | 83 | 5 | 264-270
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Local Anesthesia in Thyroid Surgery - Own Experience and Literature Review

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The local anesthesia in thyroid surgery is rarely used, only in selected patients. Majority of centers performing thyroid surgery with local anesthesia have possibility to convert to the general anesthesia.The aim of the study was to present our experiences with partial thyroidectomy under local anesthesia performed in 49 consecutive subjects in the Central African Republic (bilateral subtotal strumectomy, total resection of the one lobe, subtotal resection of the one lobe).Material and methods. All admitted patients with clinically significant goiter were accepted for surgical treatment. For infiltration anesthesia 1% lignocaine was used. Because of the shortage of medical resources, potential conversion to the general anesthesia was impossible. Before the operation patients had received an oral sedation and antibiotic. In 16 patients general anesthesia was used, in other 33 it was impossible.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 and postoperative complications noticed in the reported group, including complications related to laryngeal nerve injury. The mean duration of the procedure was 127 minutes and mean medical follow-up was 3 days. General condition of all patients on the day of discharge from hospital was good.Conclusions. Surgery for goiter under local anesthesia may be a safe alternative where general anesthesia is not available or contraindicated for medical reasons. The infiltration anesthesia is simple to perform and reduces the number of complications potentially occurred at the C2-C4 neck plexus block.
Physical description
1 - 5 - 2011
24 - 6 - 2011
  • Opertowski A, Dąbrowiecki S: Znieczulenie miejscowe w chirurgii przepuklin pachwiny. Chir Pol 2005; 7(3): 152-60.
  • Abreu RA, Speranzini MB, Fernandes LC et al.: Feasibility analysis of loop colostomy closure in patients under local anesthesia. Acta Cir Bras 2006; 21(5): 275-78.
  • Hochmann M, Fee WE: Thyroidectomy under local anesthesia. Arch Otolaryngol Head Neck Surg 1991; 117: 405-07.
  • Spanknebel K, Chabot JA, DiGiorgi M et al.: Thyroidectomy ussing local anesthesia: a report of 1025 cases over 16 years. J Am Coll Surg 2005; 201: 375-85.
  • Hisham AN, Aina EN: A reapraisal of thyroid surgery under local anaesthesia: back to the future? AN Z J Surg 2002; 72: 287-89.
  • Snyder SK, Roberson CR, Cummings CC et al.: Local anesthesia with monitored anesthesia care vs general anesthesia in thyroidectomy. Arch Surg 2006; 141: 167-73.
  • Pintaric TS, Hocevar M, Jereb S et al.: A prospective, randomized comparison between combined (deep and superficial) and superficial cervical plexus block with levobupivacaine for minimally invasive parathyroidectomy. Anesth Analg 2007; 105(4):1160-63.[WoS][Crossref]
  • Lo Gerfo P: Local/regional anesthesia for thyroidectomy: evaluation as an outpatient procedure. Surgery 1998; 124: 975-79
  • Shih ML, Duh QY, Hsieh CB et al.: Bilateral Superficial Cervical Plexus Block Combined with General Anesthesia Administered in Thyroid Operations. World J Surg 2010; 34: 2338-43[WoS]
  • Arora N, Dhar P, Fahey TJ 3rd.: Seminars: local and regional anesthesia for thyroid surgery. J Surg Oncol 2006 Dec 15; 94(8): 708-13.
  • Vellar ID: Thomas Peel Dunhill: Pioneer thyroid surgery. AZ J Surg 1999; 69: 375-87.
  • Cunningham IG, Lee YK: The management of solitary thyroid nodules under local anaesthesia. AN Z. J Surg 1975; 45: 285-89.
  • Manopo AE: Resection of an unusually large goitre. Br J Surg 1977; 64: 158-59.
  • Mamede RC, Raful H: Comparison between general anesthesia and superficial cervical plexus block in partial thyroidectomies. Braz J Otorhinolaryngol 2008; 74(1): 99-105.
  • Plunkett AR, Shields C, Stojadinovic A et al.: Awake thyroidectomy under local anesthesia and dexmedetomidine infusion. Mil Med 2009; 174(1): 100-02.
  • Trottier DC, Barron P, Moonje V et al.: Outpatient thyroid surgery: should patients be discharged on the day of their procedures? Can J Surg 2009; 52(3): 182-86.
  • Inabnet WB, Shifrin A, Ahmed L et al.: Safety of same day discharge in patients undergoing sutureless thyroidectomy: a comparison of local and general anesthesia. Thyroid 2008; 18(1): 57-61.[WoS][Crossref]
  • Lombardi CP, Raffaeli M, Modesti C et al.: Video-assisted thyroidectomy under local anesthesia. Am J Surg 2004; 187: 515-18.
  • Schwartz AE, Clark OH, Ituarte P et al.: Therapeutic controversy: thyroid surgery: the choice. J Clin Endocrinol Metab 1998; 83: 1097-05.
  • Misauno MA, Yilkudi MG, Akwaras AL et al.: Thyroidectomy under local anaesthesia: how safe? Niger J Clin Pract 2008; 11(1): 37-40.
  • Musa AA, Lasisi OA, Fatungase OM et al.: General and regional anaesthesia for thyroidectomy in rural/semi-urban Nigerian centres. East Afr Med J 2009; 86(6): 287-90.
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