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. 2020 May 4;2020(1):13. doi: 10.5339/qmj.2020.13

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%)