Head and Neck TumorsHead and Neck TumorsОпухоли головы и шеи2222-14682411-4634Publishing House ABV Press26710.17650/2222-1468-2017-7-2-65-69ORIGINAL REPORTSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯFAST TRACK REHABILITATION IN THYROID INTERVENTIONSРАННЯЯ УСКОРЕННАЯ (FAST TRACK) ПОСЛЕОПЕРАЦИОННАЯ РЕАБИЛИТАЦИЯ ПРИ ВМЕШАТЕЛЬСТВАХ НА ЩИТОВИДНОЙ ЖЕЛЕЗЕLyadovV. K.ЛядовВ. К.
Russian Federation

6th km Pyatnitsky Highway, Otradnoe, Krasnogorsk District, Moscow Region 143400; 2/1–1 Barrikadnaya St., Moscow, 125993

143400 Московская область, Красногорский район, п. Отрадное, Пятницкое шоссе, 6-й км; 125993 Москва, Баррикадная, 2/1, стр. 1

PashaevaD. R.ПашаеваД. Р.
Russian Federation

6th km Pyatnitsky Highway, Otradnoe, Krasnogorsk District, Moscow Region 143400

Джамиля Расим кызы Пашаева.

143400 Московская область, Красногорский район, п. Отрадное, Пятницкое шоссе, 6-й км

pashayeva.jamilia@gmail.comNekludovaM. V.НеклюдоваМ. В.
Russian Federation

2 Ivankovskoe Shosse, Moscow 125367

125367 Москва, Иваньковское шоссе, 3

Clinical Hospital No. 1 of the Medsi GroupКлиническая больница № 1 ЗАО «Группа компаний «Медси»Russian Medical Academy of Continuous Professional Education, Ministry of Health of RussiaФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииTreatment and Rehabilitation Center, Ministry of Health of RussiaФГАУ «Лечебно-реабилитационный центр» Минздрава России260620177265692706201727062017Copyright ©; 2017, Lyadov V.K., Pashaeva D.R., Nekludova M.V.Copyright ©; 2017, Лядов В.К., Пашаева Д.Р., Неклюдова М.В.2017Lyadov V.K., Pashaeva D.R., Nekludova M.V.Лядов В.К., Пашаева Д.Р., Неклюдова М.В.https://creativecommons.org/licenses/by/4.0https://ogsh.abvpress.ru/jour/article/view/267

Introduction. Thyroid surgeries are one of the most common surgical interventions. Duration of hospital stay depends on the risk of postoperative complications, primarily, transient or permanent hypocalcemia, recurrent laryngeal nerve paralysis, bleeding.

Objective: presentation of first-hand results of using a protocol of enhanced recovery after thyroid surgery by us.

Materials and Methods. In the study, results of treatment of 162 patients who underwent surgery in the period from January 2014 to January 2016 are analyzed. In 22 (13.5 %) patients the surgery was performed endoscopically using bilateral axillo-breast approach (ВАВА). Results. No deaths were registered. In 2 patients, intraoperative complications were observed: In one case the recurrent laryngeal nerve was transected in a patient with retrosternal giant (larger than 15 cm) nodular goiter; in the 2nd case, the cricoid cartilage of a female patient was damaged by a harmonic scalpel during endoscopic intervention. Mean surgery duration in the studied group was 69.5 ± 15.7 min. Postoperative complications were observed in 5 (3 %) patients: In 1 it was subcutaneous emphysema after endoscopic surgery, in 2 patients – laryngospasm, in another two – transient hypocalcemia. Mean duration of hospital stay was 2.1 ± 0.5 days.

Conclusions. Based on literature data analysis and results of our study, we can conclude that the use of enhanced recovery protocols after thyroid surgeries is safe with low rate of complications and earlier hospital discharge.

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