Caracterização clínico-cirúrgica de pacientes submetidos à parotidectomia

Abstract

Introduction: parotidectomy is usually performed under hospitalization, however, there is a worldwide tendency to perform medium-sized surgical procedures outpatient. Objective: to describe the clinical and surgical characteristics of patients undergoing outpatient and inpatient parotidectomy, comparing outcomes of both groups. Methods: a retrospective study that included parotidectomized patients between 2006 and 2019 in two hospitals in the west of Santa Catarina, evaluated clinical and surgical characteristics. Results: 138 patients were studied, 52,9% male and 47,1% female, most aged up to 49 years; 84,8% lived in the urban area, 47,8% underwent surgery through the Sistema Único de Saúde, 58,0% were classified as ASA I and 68,1% had primary lesions up to 30 mm. Most fine-needle aspiration punctures had benign results (71,4%). General anesthesia was used in 72,5% and partial parotidectomy was performed in 71,0%. Only 29,0% were resected adjacent structures; 62,3% of the patients had no complications and 37,0% left the hospital on the same day of the procedure. At histopathology, 62,5% of tumors were described as benign. Comparing hospital discharge on the same or more days, there was a significant difference regarding the variables housing, health insurance, time of surgery, resected structures and type of anesthesia. No significant difference was shown regarding postoperative complications. Conclusion: it was possible to perform parotidectomy under outpatient regimen, providing shorter hospitalization time and offering risk of postoperative complications no greater than surgery with hospitalization regimen.