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The American Thyroid Association Multidisciplinary Consensus Statement on Ambulatory Thyroid Surgery.


Journal article


S. Noureldine, C. Seib, Erin Buczek, Marianne David, Jagdish K Dhingra, I. Ganly, Benjamin C. James, Nadia Khoury, Biren P. Modi, Sareh Parangi, Susan C. Pitt, J. Russell, M. Sebelik, P. Smith, Meredith J. Sorensen, M. Starks, M. Zafereo, J. P. Noordzij
Thyroid, 2026

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APA   Click to copy
Noureldine, S., Seib, C., Buczek, E., David, M., Dhingra, J. K., Ganly, I., … Noordzij, J. P. (2026). The American Thyroid Association Multidisciplinary Consensus Statement on Ambulatory Thyroid Surgery. Thyroid.


Chicago/Turabian   Click to copy
Noureldine, S., C. Seib, Erin Buczek, Marianne David, Jagdish K Dhingra, I. Ganly, Benjamin C. James, et al. “The American Thyroid Association Multidisciplinary Consensus Statement on Ambulatory Thyroid Surgery.” Thyroid (2026).


MLA   Click to copy
Noureldine, S., et al. “The American Thyroid Association Multidisciplinary Consensus Statement on Ambulatory Thyroid Surgery.” Thyroid, 2026.


BibTeX   Click to copy

@article{s2026a,
  title = {The American Thyroid Association Multidisciplinary Consensus Statement on Ambulatory Thyroid Surgery.},
  year = {2026},
  journal = {Thyroid},
  author = {Noureldine, S. and Seib, C. and Buczek, Erin and David, Marianne and Dhingra, Jagdish K and Ganly, I. and James, Benjamin C. and Khoury, Nadia and Modi, Biren P. and Parangi, Sareh and Pitt, Susan C. and Russell, J. and Sebelik, M. and Smith, P. and Sorensen, Meredith J. and Starks, M. and Zafereo, M. and Noordzij, J. P.}
}

Abstract

BACKGROUND This multidisciplinary consensus statement aims to update the 2013 American Thyroid Association statement on outpatient thyroidectomy by refining the eligibility criteria for safe ambulatory thyroid surgery based on interval published data. Evidence-based perioperative factors essential for optimizing ambulatory care after thyroid surgery are outlined here.

SUMMARY This summary statement highlights four essential aspects for safe outpatient thyroid surgery evaluating preoperative eligibility, optimizing operative planning and techniques, implementing structured postoperative protocols, and ensuring effective preparation for and management of complications. Various factors may serve as relative contraindications to ambulatory thyroid surgery, including patient comorbidities, as well as clinical, social, procedural, and facility-related characteristics. Key operative factors include the choice of anesthesia, use of nerve monitoring, hemostasis, surgical technique, and management of the parathyroid glands. Postoperative care should include clear discharge criteria and protocols that ensure prompt identification and management of complications, including bleeding, airway compromise, and significant hypocalcemia. Ensuring patient education and fostering collaboration among nursing staff, surgeons, and anesthesiologists to develop treatment pathways are essential for the success of ambulatory thyroid surgery. They optimize the patient experience and long-term outcomes while mitigating perioperative risks.

CONCLUSIONS Ambulatory thyroid surgery can be performed safely in carefully selected and well-informed patients, provided appropriate precautionary perioperative measures are implemented to enhance communication and improve patient outcomes.