Surgical Treatment of Substernal Goiter Part 2: Cervical and Extracervical Approaches, Complications

Overview

Journal Sisli Etfal Hastan Tıp Bul

Specialty General Medicine

Date 2023 Jan 20

PMID 36660384

Authors

Mehmet Uludag

Mehmet Taner Unlu

Nurcihan Aygun

Adnan Isgor

Affiliations

Soon will be listed here.

Abstract

The most appropriate treatment of substernal goiter (SG) is surgery. These patients should be evaluated carefully and multidisciplinary in pre-operative period and surgical management should be planned preoperatively. Although most of the SGs can be resected by the cervical approach, an extracervical approach may be required in a small proportion of patients. Surgical complications of SG related to thyroidectomy are higher than other thyroidectomies. In addition to the complications related to thyroidectomy, complications related to the type of surgical intervention may also occur in SG. The patients who may be needed extracervical approaches should be consulted with thorax surgeons, cardiovascular surgeons, and anesthesiologists preoperatively; the surgical management should be planned together. In this part, we aimed to evaluate the cervical approach methods, extracervical approach methods, technical details, and complications in detail.

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