Surgical management of intrathoracic goiters: 20 years experience

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dc.contributor.authorHazem, Zribien_US
dc.contributor.authorAmina, Abdelkabiren_US
dc.contributor.authorImen, Bouassidaen_US
dc.contributor.authorMahdi, Abdennadheren_US
dc.contributor.authorSarra, Maazaouien_US
dc.contributor.authorHenda, Nejien_US
dc.contributor.authorAbdel, Marghlien_US
dc.date.accessioned2020-11-18T10:05:37Z
dc.date.available2020-11-18T10:05:37Z
dc.date.issued2020-10
dc.description.abstractBackground: Surgery is necessary for intrathoracic goiters (ITG) even in asymptomatic forms considering the risks of compression and malignancy. The major problem is the adequate approach.  Intrathoracic goiter’s removal can be performed via a cervical approach, whereas sternotomy might be required intraoperatively in some cases.Methods: A retrospective analysis of twenty years on 122 cases of intrathoracic goiters in a referral centre for thoracic surgery was carried out.  We included secondary substernal goiters and ectopic thoracic goiters.Our aim was to define the specifities of this surgery and its outcomes. Postoperative data were examined as well as morbidity and mortality factors.Results: The most common symptoms included dyspnea, cough and dysphagia. Whereas Twenty-two patients were asymptomatic. One hundred sixteen patients underwent a successful transcervical incision without thoracic approach. Six cases of primary goiters were noted, of whom 3 were extracted via a cervical approach. Two cases showed unilateral recurrent nerve paralysis and two cases a hypoparathyroidism.Conclusions: Surgical management of intrathoracic goiter was correlated with low morbidity and mortality The cervical approach was performed in the vast majority of cases without an extra cervical procedure.  Intrathoracic approaches were restricted to some selected indications.en_US
dc.identifier.affiliationsDepartment of Thoracic and Cardio Vascular Surgery, Abderrahmen Mami Hospital, Ariana, Tunisiaen_US
dc.identifier.citationHazem Zribi, Amina Abdelkabir, Imen Bouassida, Mahdi Abdennadher, Sarra Maazaoui, Henda Neji, Abdel Marghli. Surgical management of intrathoracic goiters: 20 years experience. International Surgery Journal. 2020 Oct; 7(10): 3198-3204en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/213367
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber10en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20204113en_US
dc.subjectGoiteren_US
dc.subjectSubsternalen_US
dc.subjectThoracotomyen_US
dc.subjectSternotomyen_US
dc.subjectMorbidityen_US
dc.titleSurgical management of intrathoracic goiters: 20 years experienceen_US
dc.typeJournal Articleen_US
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