التفاصيل البيبلوغرافية
| العنوان: |
Thoracic Versus Cervical Approach for Retrosternal Goitre: A Comparative Analysis. |
| المؤلفون: |
R., Chitra, Karthikeyan, S., Sarvesh, P. Suganth, Murugesan, P. R., Kumar, S. Pranav, Iniya, S. |
| المصدر: |
European Journal of Cardiovascular Medicine; 2024, Vol. 14 Issue 2, p1024-1028, 5p |
| مصطلحات موضوعية: |
THYROIDECTOMY, GOITER, HYPOPARATHYROIDISM, THYROID cancer, SURGICAL complications, COMPARATIVE studies, OPERATIVE surgery, MEDICAL records |
| مستخلص: |
BACKGROUND A retrosternal goiter is an enlarged thyroid which extends below clavicle and sternum. Retrostemal goitre can be defined as thyroid which extends below manubrium but some include only goitres that extends more than 50% or 3 cm below thoracic inlet. Because they are expansions or extensions of multinodular goitres based on the superior or inferior thyroid vasculature, the majority of intrathoracic or substernal goitres are referred to be secondary." They spread outward into the mediastinum anterior. AIM To find out the differences for the need for cervical approach or if it mandates a median sternotomy based on various factors. MATERIAL AND METHODS The present retrospective comparative study was conducted among 31 patients of Retrosternal goitre admitted in PSGIMSR and Hospital over the past 10 years from period 2013-2023. Patient details, history, relevant investigations, operating procedure, postoperative complications and duration of hospital stay were collected. The following factors were examined in these patients' medical records: clinical symptoms, prior thyroidectomy history, surgical technique (only cervical or cervical with median sternotomy), thyroid histology results, thyroid weight, and complications following surgery. RESULTS Of the thirty-one patients, twenty-six (83.87%) had thyroidectomies by cervical incisions, while five (16.13%) required median sternotomies. Mean operative time (min) and hospital stay (days) among subjects who underwent surgery through cervical and thoracic approach was 214.81, 7.92 and 321.92, 15.83 respectively. Hence mean operative time (min) and hospital stay (days) was significantly more in thoracic as compared to cervical approach as p<0.05. Most common postoperative complications among the study subjects was transient hypocalcemia followed by postoperative bleeding. CONCLUSION Due to the low surgical morbidity, high incidence of compression-related symptoms, lack of effective medicinal treatment, and possibility of cancer, the existence of an RSG is an indication for surgery. Although surgically removing a retrosternal goitre is a difficult procedure, it can usually be done safely using a cervical approach. The rate of complications associated with this procedure is slightly higher than that of a cervical goitre thyroidectomy, particularly in regards to hypoparathyroidism and bleeding after surgery. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
