학술논문
Differences in surgical outcomes between cervical goiter and retrosternal goiter: an international, multicentric evaluation
Document Type
article
Author
Federico Cappellacci; Gian Luigi Canu; Leonardo Rossi; Andrea De Palma; Maria Mavromati; Paulina Kuczma; Giacomo Di Filippo; Eleonora Morelli; Marco Stefano Demarchi; Paolo Brazzarola; Gabriele Materazzi; Pietro Giorgio Calò; Fabio Medas; our Mediastinal Goiter Study Collaborative Group; Cristina Soddu; Francesco Casti; Miriam Biancu; Silvia Puddu; Francesca Morinello; Giovanni Lazzari; Dorin Serbusca; Bernard Gjeloshi; Mariangela Caradonna; Luisa Sacco
Source
Frontiers in Surgery, Vol 11 (2024)
Subject
Language
English
ISSN
2296-875X
Abstract
IntroductionGoiter is a common problem in clinical practice, representing a large part of clinical evaluations for thyroid disease. It tends to grow slowly and progressively over several years, eventually occupying the thoracic inlet with its lower portion, defining the situation known as retrosternal goiter. Total thyroidectomy is a standardized procedure that represents the treatment of choice for all retrosternal goiters, but when is performed for such disease, a higher risk of postoperative morbidity is variously reported in the literature. The aims of our study were to compare the perioperative and postoperative outcomes in patients with cervical goiters and retrosternal goiters undergoing total thyroidectomy.MethodsIn our retrospective, multicentric evaluation we included 4,467 patients, divided into two groups based on the presence of retrosternal goiter (group A) or the presence of a classical cervical goiter (group B).ResultsWe found statistically significant differences in terms of transient hypoparathyroidism (19.9% in group A vs. 9.4% in group B, p