Abstract
The definition of an intrathoracic goitre is a thyroid gland with more than 50% of its mass located below the thoracic inlet. Surgical resection is recommended in case of morbidity associated with the goiter’s mass effect or for suspicion of malignancy, in majority, the retrosternal goitre can be removed via a subcapsular dissection cervical approach to avoid sternotomy or thoracotomy. Surgical technique, results, and postsurgical complications were assessed. The study consisted of 20 patients of cervicomediastinal goiters (CMGs) who underwent total thyroidectomy between 2017 to 2019. The following parameters were analysed- symptoms, gender, age, operative time, duration of drain, length of hospital stay, malignancy and outcome.
Symptoms, malignancy, overall morbidity, hypoparathyroidism, RLN palsy and hematoma are increased in cases of substernal goiter.
Keywords: Thyroid, Goiter, mediastinum, Retrosternal goitre, Surgical treatment, Complications.
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Corresponding Author
Dr Bhagavan B C
Professor, Department of General Surgery, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India- 560004
DOI: https://dx.doi.org/10.18535/jmscr/v8i3.117
