Management of retrosternal goiters: experience of a surgical unit.
The aim of this study was to retrospectively analyze 5 years' experience of cervico-mediastinal goiters (CMG) management. Twenty-five patients with cervico-mediastinal goiters underwent surgery between January 1998 and December 2002. The group consisted of 16 females and 9 males (mean age, 48.2 years; range, 42-74 years). A total thyroidectomy under general anesthesia was always performed. A no. 7 Fogarty catheter with a 5-ml balloon was employed in the seven last cases to lift the retrosternal portion of the goiter into the neck. The mean postoperative stay was 3 days (range, 1-7 days), and the mean follow-up time was 29 months (range, 1-58 months). There were no postoperative deaths; overall morbidity rate was 28.0%. One patient with a severe life-threatening hematoma required surgical re-exploration. Surgery for CMGs shows a low morbidity rate; total thyroidectomy is the treatment of choice to prevent recurrences or re-surgery for malignancy.
Testini
Mario
M
Section of General, Vascular, and Clinical Oncology, Department of Application in Surgery of Innovative Technologies, University Medical School, Bari, Italy. mario.testini@tin.it
Nacchiero
Michele
M
Miniello
Stefano
S
Ianora
Amato Stabile
AS
Piccinni
Giuseppe
G
Di Venere
Beatrice
B
Lissidini
Germana
G
Gurrado
Angela
A
Bonomo
G Martino
GM
D000328:Adult; D000368:Aged; D005260:Female; D006045:Goiter, Substernal / Q000601:surgery*; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D013965:Thyroidectomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome