Morbidity and mortality of thyroidectomy for substernal goiter

Abboud, Bassam; Sleilaty, Ghassan; Mallak, Nadine; Zeid, Hicham Abou; Tabchy, Bassam

doi:10.1002/hed.21246

Cited by 49 publications

(48 citation statements)

References 22 publications

(67 reference statements)

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“…Total thyroidectomy is the procedure of choice, and it is in most cases practiced by the cervical approach [2]. Morbidity rates for large goiters are higher than the rates for smaller goiters [3]. Cases of deaths reported by some authors are mainly due to cardiopulmonary failure.…”

Section: Introductionmentioning

confidence: 99%

Complications of thyroidectomy for large goiter

Berri¹,

Houari²

2013

Pan Afr Med J

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Thyroidectomy is a routinely common practiced surgery. Morbidity and mortality from thyroid surgery are disregarded nowadays and undervalued in the literature. Perioperative risks and complications still exist for large goiters and can be life-threatening. These complications may occur during the anesthesia and intubation, intra-, or postoperatively. We set out through a case of a large cervical multinodular goiter (MNG) and a review of literature the perioperative complications and how to avoid them. During the total thyroidectomy operation, an accidental devascularisation of a parathyroid gland, a cervical hematoma which was evacuated by surgical reoperation, hemodynamic disorder and a transitory hypoparathyroidism were the postoperative complications that occurred. Surgery for large goiters remains difficult; so adequate preoperative assessment, particular attention and careful operative procedure should be followed to obtain better surgical outcomes.

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Section: Introductionmentioning

confidence: 99%

Complications of thyroidectomy for large goiter

Berri¹,

Houari²

2013

Pan Afr Med J

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“…Some studies only include cases with 50% or more of the gland situated in the thorax, whereas other studies include patients with any part of the gland extending through the thoracic inlet. The reported incidence of substernal goiter is highly variable, ranging from 3 to 30% [3,6,15]. In our study the incidence of substernal goiter was 11%.…”

Section: Discussionmentioning

confidence: 47%

“…the recurrent laryngeal nerves and the parathyroid glands, and to prevent postoperative haematomas [2]. Complication rates are reported between 5 and 15% for transient hypocalcaemia and recurrent laryngeal nerve injury [3][4][5], 1% for permanent paralysis of the recurrent laryngeal nerve and hypocalcaemia [6,7], and 0-5% for postoperative haemorrhage in large cohort studies [8,9].…”

Section: Introductionmentioning

confidence: 98%

Harmonic focus in thyroidectomy for substernal goiter

2015

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“…The cervical approach is considered the preferred surgical approach for the majority of intrathoracic goitres 3 4. However, a surgical approach requiring sternotomy is preferred in cases of recurrent goitres, goitres of very large dimensions and volume and larger than the thoracic inlet, ectopic intrathoracic goitres and suspicion of malignancy 4 – 6.…”

Section: Discussionmentioning

confidence: 99%

Giant recurrent intrathoracic goitre treated by clamshell thoracotomy and reverse sternotomy

2014

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A 59-year-old man with a giant recurrent intrathoracic goitre was admitted for completion thyroidectomy for recurrent severe retrosternal pain. The patient had undergone a cervical thyroidectomy elsewhere 13 years earlier, during which only the cervical part of the goitre had been resected. Owing to the previous operation with an expected scar around the innominate vein, and the goitre's size and localisation obstructing the upper chest aperture, we chose an alternate access. Clamshell thoracotomy with reverse sternotomy allows central vascular control and excision of large goitres bypassing predictable problems at the cervicothoracic junction. Surgery was performed with minimal blood loss and with excellent functional outcome. The described access adds to the repertoire to deal with this unusual situation.

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Morbidity and mortality of thyroidectomy for substernal goiter

Abstract: Thyroid resection via a cervical approach for substernal goiters is associated with low rate of morbidity and no mortality. Patients with large tumors and tracheal compression are more likely to develop postoperative complications.

Cited by 49 publications

References 22 publications

Complications of thyroidectomy for large goiter

Complications of thyroidectomy for large goiter

Harmonic focus in thyroidectomy for substernal goiter

Giant recurrent intrathoracic goitre treated by clamshell thoracotomy and reverse sternotomy

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