Retraction: Median Sternotomy and Place of Thoracotomy in Substernal Goitre

Year 2023, , 84 - 91, 19.06.2023

Mustafa Tolga Gürgen Ali Muhtaroğlu , Tuna Albayrak , Hakan Kutlay

https://doi.org/10.57221/izmirtip.1268456

This article was retracted on September 25, 2023. https://dergipark.org.tr/en/pub/izmirtip/issue/80002/1324377

Abstract

Aim: Accepted therapy for substernal goitre is surgery. Approach for surgery changes according to characteristics of the goitre. We designed a retrospective analysis to determine the right approach preoperatively. Material and Methods: From 1998 to 2008, thyroidectomy was performed for substernal goitre on 31 patients in Ankara University School of Medicine, Department of Thoracic Surgery. Data were analyzed retrospectively. Patients were viewed for age, sex, histologic types of goitres, the relation of goitres with trachea and vascular structures, mediastinal localization of goitres, the mediastinal distance of goitres, symptoms, the diameter of goitres, recurrent, tracheal compression. Results: Thirty-one patients were classified according to characteristics of substernal goitres, and an indication of median sternotomy or thoracotomy was found to increase in the recurrent goitre group (%61,5). When substernal goitres reached the aortic arch or passed through the carina level, increased entailment for median sternotomy or thoracotomy was reported as statistically significant. Other parameters had no statistically significant results. Conclusion: Consequently, detailed preoperative examination signs the right approach for substernal goitre and we can prepare for the right surgery. In the future, improved visual systems will make finding the right way and block overtreatment easier.

Keywords

Substernal goitre, sternotomy;, thoracotomy

Retraction: Substernal Guatrlarda Torakotomi veya Median Sternotominin Yeri

This article was retracted on September 25, 2023. https://dergipark.org.tr/en/pub/izmirtip/issue/80002/1324377

Abstract

Amaç: Substernal guatrlarda cerrahi eksizyon kabul gören tedavi yöntemidir. Hastalara uygulanacak cerrahi girişim guatrın özelliklerine göre belirlenmektedir. Girişim yolunun preoperatif olarak belirlenebilmesi için kliniğimizde opere edilen substernal guatrlı olgular üzerinde retrospektif bir çalışma tasarlanmıştır. Gereç ve Yöntemler: Ankara Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı’nda 1998-2008 yılları arasında substernal guatr tanısıyla opere edilen 31 hasta çalışmaya alındı. Hastaların verileri tıbbi kayıtlardan retrospektif olarak incelendi. Hastalar yaş, cinsiyet, histolojik tip özellikleri, semptomlar, guatrın trakea ve vasküler yapılarla ilişkisi, guatrın mediyastinal lokalizasyonu, guatrın mediyastinal uzanımı, hasta şikayetleri, tiroid çapı, rekürrens, trakea basısı özellikleri göz önüne alınarak ve postoperatif komplikasyonları değerlendirilerek incelendi. Sonuçlar: Çalışmaya alınan hastalar guatr özelliklerine göre sınıflandırıldığında median sternotomi veya torakotomi yapılan hastalarda rekürren guatr oranları belirgin yüksek izlendi (%61,5). Mediyastinal uzanımları aortik arka ulaşan ve karina seviyesini geçenlerde median sternotomi veya torakotomi gerekliliği istatistiksel olarak anlamlı bulundu (p=0.007). Diğer parametrelerde belirgin istatistiksel anlamlı bulgular tespit edilmedi. Sonuç: Preoperatif ayrıntılı değerlendirme ile substernal guatrlarda cerrahi girişim yolunu belirleyerek operasyona hazırlıklı girmek mümkün olabilmektedir ve gelecekte daha ileri görüntüleme sistemleri ile gereksiz geniş cerrahilerin önüne geçilebilecektir.

Keywords

Substernal guatr, sternotomi, torakotomi

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