Introduction: Retrosternal goitres require surgical removal due to compressive symptoms as well as risk of malignancy. In a majority, the retrosternal part can be removed through the neck incision, while 5-10% requiring a sternotomy. An alternative to sternotomy is thoracoscopy, which is associated with reduced morbidity. Methods:The surgical approach used to resect retrosternal goiters in our unit over a period of two years was evaluated. Results:In fifty four patients out of sixty (90%) with retrosternal extension, resection was feasible from neck. Out of the remaining six, two had median sternotomy while four had thoracoscopy. The operating time, blood loss, post-operative analgesic requirement and hospital stay were less in the thoracoscopy group.Conclusions: Majority of retrosternal goitres can be removed via neck. For those who require access in to chest, thoracoscopy is associated with reduced morbidity and hospital stay, when compared to median sternotomy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.