Current Technique for Resection of Mediastinal Goiter
| Autor: | Larry Shemen, Wilson Ko |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Male
Mediastinal goiter medicine.medical_specialty business.industry medicine.medical_treatment Middle Aged Thoracic Surgical Procedures Nerve injury medicine.disease Resection Surgery Chest tube Otorhinolaryngology Hypoparathyroidism Blood loss Goiter Substernal Mediastinal Diseases Recurrent laryngeal nerve Harmonic scalpel medicine Humans Female medicine.symptom business Aged |
| Zdroj: | Ear, Nose & Throat Journal. 85:609-611 |
| ISSN: | 1942-7522 0145-5613 |
| Popis: | We have developed a combined surgical technique involving traction sutures, the harmonic scalpel, and laryngeal nerve monitoring for the removal of mediastinal goiters. This technique is safe, expeditious, and effective; it minimizes the risk of blood loss or nerve injury; and it obviates the need for sternotomy. During a 4-year period, we performed this operation on 21 patients. We observed only two complications: one patient developed postoperative seroma 1 week after surgery and another experienced vocal fold paralysis after intentional sacrifice of the recurrent laryngeal nerve, which was encompassed by cancer. No other recurrent laryngeal nerve was injured. Operative blood loss was negligible, no systemic infection or permanent hypoparathyroidism was observed, and no patient required a chest tube or chest incision. Almost all patients were discharged home on postoperative day 1. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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