Extended cervical approach for retrosternal multinodular goiter.

Autor:	Tsur N; Department of Otorhinolaryngology - Head & Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Levi L; Department of Otorhinolaryngology - Head & Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Frig O; Department of Otorhinolaryngology - Head & Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Koch N; Department of Otorhinolaryngology - Head & Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel., Eshel Y; Department of Otorhinolaryngology - Head & Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Bachar G; Department of Otorhinolaryngology - Head & Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Shpitzer T; Department of Otorhinolaryngology - Head & Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Yehuda M; Department of Otorhinolaryngology - Head & Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Pescovitz Y; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Division of Thoracic Surgery, Department of Cardiothoracic Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel., Wiesel O; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Division of Thoracic Surgery, Department of Cardiothoracic Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel., Dudkiewicz D; Department of Otorhinolaryngology - Head & Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Mizrachi A; Department of Otorhinolaryngology - Head & Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Jazyk:	angličtina
Zdroj:	Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale [Acta Otorhinolaryngol Ital] 2024 Feb; Vol. 44 (1), pp. 21-26.
DOI:	10.14639/0392-100X-N2746
Abstrakt:	Objective: Partial or total sternotomy is required for 10% of retrosternal goiter. This study reviewed our experience with an extended cervicotomic approach as an alternative surgical solution for retrosternal goiter. Methods: A retrospective study was performed on patients who underwent partial or total thyroidectomy for retrosternal goiter between 2014 and 2019 at a tertiary medical centre. Data on clinical, radiologic, and pathologic factors were analysed. Peri- and postoperative outcomes were compared between extended and standard cervical approaches to predict the need for an extended cervical approach. Results: The cohort included 265 patients, of whom 245 (92.4%) were treated by standard thyroidectomy. In 17 (6.4%), the standard approach proved insufficient, and the horizontal incision was extended to a T-shape to improve access. The remaining 3 patients required a sternotomy. Use of the extended cervical approach was significantly associated with clinical features such as male gender, diabetes, high body mass index and postoperative hypocalcaemia. Conclusions: The extended cervicotomic approach is an alternative surgical solution for retrosternal goiter, with no increased risk of significant post-operative complications. (Copyright © 2024 Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu