Table 2.
Classification, management, post-operative complications and outcome of RSG.
| Variable | N (%) | Variable | N (%) |
|
| |||
| Classification of retrosternal goiters | Post-operative complications | ||
|
| |||
| Above aortic arch (above tbl4) (Grade 1) | 22 (73.3%) | Tracheomalacia | 4 (13.4%) |
|
| |||
| Aortic arch to pericardium (Grade 2) | 7 (23.3%) | Temporary tracheostomy | 2 (6.7%) |
|
| |||
| Below right atrium (Grade 3) | 1 (3.4%) | Hypocalcaemia (transient) | 3 (10%) |
|
| |||
| Type of operation | Hypoparathyroid (transient) | 2 (6.7%) | |
|
| |||
| Primary | 28 (93.3%) | Recurrent laryngeal nerve injury | 1 (3.4%) |
|
| |||
| Re-operation | 2 (6.7%) | Pneumothorax | 1 (3.4%) |
|
| |||
| Type of excision | Thrombosis of left subclavian vein | 1 (3.4%) | |
|
| |||
| Total thyroidectomy | 17 (56.7%) | Wound infection | 0 (0%) |
|
| |||
| Hemi-thyroidectomy | 11 (36.7%) | Bleeding | 0 (0%) |
|
| |||
| Subtotal thyroidectomy | 2 (6.7%) | ICU admission | 6 (20%) |
|
| |||
| Central lymph node dissection | 2 (6.7%) | ICU length of stay (days) median, range | 6 (2–11) |
|
| |||
| Approach for retrosternal goiters | Hospital length of stay (days) | 7.67 (2–44) | |
|
| |||
| Cervical | 29 (96.7%) | ||
|
| |||
| Full sternotomy | 1 (3.4%) | Outcome | |
|
| |||
| Manubriotomy | 0 (0%) | Mortality (30 days) | 0 (0%) |
|
| |||
| Histopathology results | Mortality on follow up | 1 (3.4%) | |
|
| |||
| Multinodular goiter | 25 (83.3%) | Metastatic papillary cancer on follow-up | 1 (3.45) |
|
| |||
| Papillary thyroid cancer | 3 (10%) | ||
|
| |||
| Thyroiditis | 2 (6.7%) | ||
|
| |||
| Positive lymph node for cancer | 0 (0%) | ||
|
| |||