[Extracervical approach for retrosternal goiter].

Q4 Medicine

Khirurgiya Pub Date : 2025-01-01 DOI:10.17116/hirurgia202505144

A A Pechetov, N V Gulova, D A Volchansky, A N Lednev, A I Baeva, T N Khlan, I S Gruzdev

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引用次数: 0

Abstract

Objective: To analyze treatment outcomes in patients with retrosternal goiter.

Material and methods: There were 13 patients aged 32-77 years with retrosternal goiter between 2016 and 2024. The ratio of men and women was 2:11.

Results: Twelve patients underwent thyroidectomy, one patient - video-assisted thoracoscopic thymectomy with resection of aberrant goiter. Among 12 patients, thyroidectomy through collotomy was performed in 6 patients, sternotomy was performed in 5 patients. Aberrant goiter was removed through thoracotomy in one patient with recurrent retrosternal goiter. Complicated postoperative period was observed in 4 patients. Two patients underwent postoperative tracheostomy (prevention of respiratory failure following high risk of bilateral paresis of recurrent laryngeal nerves in one case and laryngeal edema in the second case). There were no deaths in long-term period.

Conclusion: Preoperative planning should include CT-based analysis of intrathoracic component of thyroid gland and volume of chest cavity. This is valuable to plan the optimal surgical approach and reduces the risk of intraoperative complications.

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[颈外入路治疗胸骨后甲状腺肿]。

目的：分析胸骨后甲状腺肿的治疗效果。材料与方法：2016 - 2024年胸骨后甲状腺肿患者13例，年龄32 ~ 77岁。男女比例为2:11。结果：12例患者行甲状腺切除术，1例患者行电视胸腔镜胸腺切除术并切除异常甲状腺肿。12例患者中，6例患者行甲状腺切除术，5例患者行胸骨切开术。1例复发性胸骨后甲状腺肿患者经开胸手术切除异常甲状腺肿。4例患者术后出现并发症。2例患者术后行气管造口术（1例为预防双侧喉返神经轻瘫高危呼吸衰竭，2例为预防喉水肿）。长期无死亡病例。结论：术前计划应包括基于ct的甲状腺胸内成分和胸腔容积分析。这对于规划最佳手术入路和减少术中并发症的风险是有价值的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Khirurgiya Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

161

期刊介绍： Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень