Özet:

Purpose: In the mediastinal placed thyroid and parathyroid pathologies, the cervical cuts are often sufficient, but sometimes mediastinal approaches are required. In recent years, less invasive methods have been used instead of median sternotomy. In this study, we studied the sufficiency and morbidity of cells in patients with split sternotomy due to retrosternal guatr (RG) and mediastinal parathyroid pathology in our clinic. Method: In our clinic between January 2010 and January 2021, the files of patients who were administered in split sternotomy, which extended from the sternal spine to the third interkostal range, in addition to cervical cutting or with separate vertical cutting due to retrosternal thyroid pathology or mediastinal ectopic parathyroid adenoma were reviewed backward. Operational success, the exposure and complication rates provided by split sternotomy have been studied. The study included 12 patients who applied split sternotomy. The average age of patients was 57.25±12.62 (44-83) 8 of the patients (66.7 percent) were female and 4 (33.3 percent) were male. The surgical indications were 3 (25%) patients with multinodular guatr (MNG), 3 (25%) patients with nick MNG, 3 (25%) patients with hyperparathyroid and 3 (25%) patients with thyroid cancer. After surgery, 6 (50%) patients developed temporary hypokalcemia and 1 (8.3%) patients developed temporary unilateral vocal cord paralysis, and in an average of 3 weeks all complications improved spontaneously. No patient needs median sternotomy. The result: Split sternotomy is a sufficient and applicable method for the success of surgery in RG and mediastinal parathyroid pathologies that cannot be exhausted by cervical approach. (SETB-2021-05-136)

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