Obviating the need for sternotomy: Safety and effectiveness of microdebrider use for retrosternal goiter.
Head Neck
; 40(4): 837-841, 2018 04.
Article
in En
| MEDLINE
| ID: mdl-29360235
ABSTRACT
BACKGROUND:
Most retrosternal goiter surgical removal can be performed via a transcervical approach. However, it is often a challenging procedure, which might include sternotomy.METHODS:
We describe a surgical technique using a microdebrider for intracapsular volume reduction that precedes an extracapsular thyroidectomy, thereby avoiding the need for sternotomy, with decreased morbidity and risk. The procedure is described in detail with 2 representative cases and a summary of our experience in 26 cases.RESULTS:
Twenty-six patients with retrosternal goiters are included in our cohort. None of the patients needed a sternotomy, and no major or permanent complications occurred. The average length of hospital stay was 4.30 days after total thyroidectomy and 2.57 days after hemithyroidectomy.CONCLUSION:
The use of a microdebrider for intracapsular volume reduction thyroidectomy is extremely helpful for transcervical removal of retrosternal goiters in selected cases, and avoids the need for sternotomy, which is especially beneficial in elderly patients, and those with comorbidities for whom sternotomy should be avoided.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Thyroidectomy
/
Sternotomy
/
Cytoreduction Surgical Procedures
/
Goiter, Substernal
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Head Neck
Journal subject:
NEOPLASIAS
Year:
2018
Document type:
Article
Affiliation country: