Surgical approach to the substernal goiter

被引：22
|
作者：
Hanson, Martin A. [1 ]
Shaha, Ashok R. [1 ]
Wu, James X. [1 ]
机构：
[1] Mem Sloan Kettering Canc Ctr, Dept Surg Head & Neck Serv, 1275 York Ave,C-1064, New York, NY 10021 USA
来源：
BEST PRACTICE & RESEARCH CLINICAL ENDOCRINOLOGY & METABOLISM | 2019年 / 33卷 / 04期
关键词：
thyroid; thyroidectomy; substernal goiter; RECURRENT LARYNGEAL NERVE; ASSISTED THORACOSCOPIC SURGERY; THYROID ASSOCIATION STATEMENT; STERNOTOMY; MANAGEMENT; PARALYSIS; CANCER;
D O I：
10.1016/j.beem.2019.101312
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Surgery for substernal goiters can be technically demanding. Extensive mediastinal extension brings the thyroid gland into close quarters with vital intrathoracic structures. Proper preoperative planning is required to determine the potential need for an extracervical approach. Assessing the risk of requiring an extracervical approach is typically based on findings from cross-sectional imaging of the neck and chest. This article addresses the important anatomical considerations when resecting a large substernal goiter and also reviews various extracervical approaches. (C) 2019 Elsevier Ltd. All rights reserved.
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页数：12
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