[Discussion about cervical incision of goiter in mediastinum posterior and its indications].

Objective: To explore the feasibility of cervical approach for goiter in posterior mediastinum.

Method: According to the mechanism that goiter filed into posterior mediastinum and the dissection of thyroid gland and mediastinum, we designed the following surgery principles (1) From top to bottom. (2) Find out recurrent nerve at the place where it enters larynx, then dissect recurrent nerve as long as possible and protect it carefully, meanwhile, search thyroid vessels along recurrent nerve.