Best Approach for Posterior Mediastinal Goiter Removal: Transcervical Incision and Lateral Thoracotomy

Abstract Surgical removal of intrathoracic goiter can be performed by a cervical approach in the majority of patients. Review of literature shows that experienced surgeons need to perform an extracervical approach in 2–3% of cases. In spite of surgical management of substernal goiter is well defined...

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Bibliographic Details
Published in:Archivos de bronconeumología (English ed.) 2014-06, Vol.50 (6), p.255-257
Main Authors: Ojanguren Arranz, Amaya, Baena Fustegueras, Juan Antonio, Ros López, Susana, Santamaría Gómez, Maite, Ojanguren Arranz, Iñigo, Olsina Kissle, Jorge Juan
Format: Article
Language:English
Subjects:
Bocio endotorácico
Esternotomía
Internal Medicine
Intrathoracic goiter
Mediastino posterior
Posterior mediastinum
Pulmonary/Respiratory
Sternotomy
Thoracotomy
Thyroidectomy
Tiroidectomía
Toracotomía
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Summary:Abstract Surgical removal of intrathoracic goiter can be performed by a cervical approach in the majority of patients. Review of literature shows that experienced surgeons need to perform an extracervical approach in 2–3% of cases. In spite of surgical management of substernal goiter is well defined, there is little available information about surgical approach of intrathoracic goiters extending beyond the aortic arch into the posterior mediastinum. We report two cases and propose combination of cervical incision and muscle-sparing lateral thoracotomy for posterior mediastinal goiter removal. In such cases, we do not favor sternotomy as posterior mediastinum is inaccessible due to the presence of heart and great vessels anterior to the thyroidal mass that would lead to perform a perilous blind dissection. Based on our experience, transcervical and thoracotomy approach is indicated for a complete and safe posterior mediastinal goiter removal.
ISSN:1579-2129
1579-2129
DOI:10.1016/j.arbr.2014.04.002