Purpose of this Mini-Review is to evaluate the role of a thoracic surgeon in the surgical management of retrosternal goitre. A cervical approach is sufficient in the majority of the cases. On the other hand, there are cases where a cervical approach is combined with sternotomy or thoracotomy, depending on the position of the goitre, in the anterior or posterior mediastinum. On top of that, different minimally invasive approaches including video-assisted thoracoscopic surgery (VATS) and robotic-assisted surgery (RATS) have been introduced, providing faster recovery, superior manoeuvrability and better aesthetic results.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5394028 | PMC |
http://dx.doi.org/10.21037/jtd.2017.02.56 | DOI Listing |
BMJ Case Rep
December 2024
Department of General Surgery, All India Institute of Medical Sciences - Nagpur, Nagpur, Maharashtra, India.
Retrosternal or substernal goitre is a clinical entity defined when a significant proportion of the thyroid gland extends inferiorly through the thoracic inlet into the mediastinum. It has an incidence of 5.1-15.
View Article and Find Full Text PDFANZ J Surg
December 2024
Endocrine Surgery Unit, University of Sydney, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Background: Thyroid rests are common and arise during embryological development, with aberrant descent of thyroid tissue along the thyro-thymic tract. These give rise to a range of pathologies, including goitre formation and malignancy. Thyroid rests have been graded I-IV based on their connection to the thyroid gland proper - grade I is a short protuberance, grade II & III are connected via a pedicle and fibrous band respectively, and grade IV is completely disconnected.
View Article and Find Full Text PDFJ Vis Exp
September 2024
Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern;
Eur J Case Rep Intern Med
September 2024
Department of Respiratory Medicine, Mater Dei Hospital, Msida, Malta.
BMJ Case Rep
September 2024
Otorhinolaryngology Head and Neck Surgery, Jichi Ika University Saitama Medical Center, Saitama, Japan.
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