Can more invasive procedures be avoided in patients with intrathoracic goitre? Patients with intrathoracic goitre and surgery

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dc.authorid0000-0001-5778-385Xen_US
dc.authorid0000-0001-5708-3431en_US
dc.contributor.authorOruç, Menduh
dc.contributor.authorÖz, Funda
dc.contributor.authorDurkan, Atilla
dc.contributor.authorÜlkü, Refik
dc.date.accessioned2023-10-18T07:05:03Z
dc.date.available2023-10-18T07:05:03Z
dc.date.issued2018en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göğüs Cerrahisi Ana Bilim Dalıen_US
dc.description.abstractObjective: We aimed to evaluate whether patients require an incision other than the neck incision before thyroid surgery. Methods: We analysed data from 30 patients who underwent surgery for retrosternal goitre in our clinic between January 1996 and May 2017. We evaluated patient age, sex, physical examination findings, laboratory results, the surgical technique used, and complications. We used radiography, neck ultrasonography, and thoracic Computed Tomography (CT) to diagnose retrosternal goitre. All patients underwent fine-needle aspiration biopsy and those who were euthyroid underwent surgery. We examined postoperative morbidity, complications, and the duration of hospitalisation. Results: This study involved 30 patients (23 females, 7 males; average age, 44 y (range: 32-69 y)). One undiagnosed event appeared as an intrathoracic mass on thoracic CT; sternotomy was performed and postoperative examination revealed thyroid pathology. Three patients underwent surgery that began with a collar incision and involved complete sternotomy, and three patients underwent partial sternotomy. The duration of hospitalisation for patients in whom the collar incision was sufficient was about 3 d; in cases of partial sternotomy, it was 5 d. The duration of hospitalisation in cases of complete sternotomy was 5.2 d. Infection occurred in three patients and haemorrhage occurred in two patients in the neck incision area; there were no deaths. According to postoperative pathological examination, one patient had Hashimoto’s thyroiditis and all other patients had multinodular goitre. Conclusions: Median Sternotomy (MS) is not necessary in all cases of intrathoracic goitre that extend beyond the thoracic inlet. Thorough preoperative evaluation and good surgical planning are required to avoid unnecessary MS.en_US
dc.identifier.citationOruç, M., Öz, F., Durkan, A. ve Ülkü, R. (2018). Can more invasive procedures be avoided in patients with intrathoracic goitre? Patients with intrathoracic goitre and surgery. Biomedical Research (India), 29(7), 1361-1365.en_US
dc.identifier.doi10.4066/biomedicalresearch.29-17-3563
dc.identifier.endpage1365en_US
dc.identifier.issn0970-938X
dc.identifier.issue7en_US
dc.identifier.scopus2-s2.0-85047125472
dc.identifier.scopusqualityN/A
dc.identifier.startpage1361en_US
dc.identifier.urihttps://www.alliedacademies.org/articles/can-more-invasive-procedures-be-avoided-in-patients-with-intrathoracic-goitre-patients-with-intrathoracic-goitre-and-surgery.pdf
dc.identifier.urihttps://hdl.handle.net/11468/12846
dc.identifier.volume29en_US
dc.indekslendigikaynakScopus
dc.institutionauthorOruç, Menduh
dc.institutionauthorÖz, Funda
dc.institutionauthorÜlkü, Refik
dc.language.isoenen_US
dc.publisherScientific Publishers of Indiaen_US
dc.relation.ispartofBiomedical Research (India)
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGoitreen_US
dc.subjectSternumen_US
dc.subjectThyroiden_US
dc.titleCan more invasive procedures be avoided in patients with intrathoracic goitre? Patients with intrathoracic goitre and surgeryen_US
dc.titleCan more invasive procedures be avoided in patients with intrathoracic goitre? Patients with intrathoracic goitre and surgery
dc.typeArticleen_US

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