Antero mediastinal retrosternal goiter: surgical excision by combined cervical and hybrid robot-assisted approach

Surgical treatment of retrosternal goiter.

BACKGROUND The definition of substernal goiter is not uniform and varies among authors. We can define substernal--or retrosternal-goiter a thyroid formation with cervical departure that goes beyond the superior thoracic strait for at least 3 cm and that preserves, generally, the connections between the cervical and thoracic portion, maintaining a direct vascularization supplied by the thyroid a...

The Surgical Management of Retrosternal (Intrathoracic) Goiter

Retrosternal (intrathoracic) goiter has a prevalence of 4 to 20% of patients undergoing thyroidectomy for multinodular goiter. Although it is a condition affecting the older patient with a peak incidence in the sixth decade, the majority should be treated surgically. With few exceptions the operation can be safely accomplished through a cervical approach, only a small minority (approximately 2%...

Retrosternal Goiter

Objective. Retrosternal goiters pose a significant challenge in determining the indications and appropriate approach for surgical removal while limiting postoperative morbidity and mortality. The objective of this study is to use the National Surgical Quality Improvement Program (NSQIP) database to compare outcomes of transcervical and transthoracic approaches for retrosternal goiter removal an...

Giant Cervical Goiter With Posterior Mediastinal Extension

Most cervico-mediastinal goiters are situated in the anterior mediastinal compartment, but according to the literature, 10-15 percent of them are located in the posterior mediastinum. Although most anterior mediastinal goiters can be removed by using the transcervical approach, cervico-mediastinal goiters in the posterior mediastinal may require additional extracervical incisions. We report the...

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