Management of retrosternal goiters: Experience of a surgical unit

Mario Testini, Michele Nacchiero, Stefano Miniello, Amato Stabile Ianora, Giuseppe Piccinni, Beatrice Di Venere, Germana Lissidini, Angela Gurrado, G. Martino Bonomo

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)61-65
Number of pages5
JournalInternational Surgery
Volume90
Issue number2
Publication statusPublished - Apr 2005

Fingerprint

Goiter
Thyroidectomy
Morbidity
Hematoma
General Anesthesia
Neck
Catheters
Recurrence
Neoplasms
Therapeutics

Keywords

  • Cervico-mediastinal goiter
  • Substernal goiter
  • Thyroid
  • Thyroid surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Testini, M., Nacchiero, M., Miniello, S., Ianora, A. S., Piccinni, G., Di Venere, B., ... Bonomo, G. M. (2005). Management of retrosternal goiters: Experience of a surgical unit. International Surgery, 90(2), 61-65.

Management of retrosternal goiters : Experience of a surgical unit. / Testini, Mario; Nacchiero, Michele; Miniello, Stefano; Ianora, Amato Stabile; Piccinni, Giuseppe; Di Venere, Beatrice; Lissidini, Germana; Gurrado, Angela; Bonomo, G. Martino.

In: International Surgery, Vol. 90, No. 2, 04.2005, p. 61-65.

Research output: Contribution to journalArticle

Testini, M, Nacchiero, M, Miniello, S, Ianora, AS, Piccinni, G, Di Venere, B, Lissidini, G, Gurrado, A & Bonomo, GM 2005, 'Management of retrosternal goiters: Experience of a surgical unit', International Surgery, vol. 90, no. 2, pp. 61-65.
Testini M, Nacchiero M, Miniello S, Ianora AS, Piccinni G, Di Venere B et al. Management of retrosternal goiters: Experience of a surgical unit. International Surgery. 2005 Apr;90(2):61-65.
Testini, Mario ; Nacchiero, Michele ; Miniello, Stefano ; Ianora, Amato Stabile ; Piccinni, Giuseppe ; Di Venere, Beatrice ; Lissidini, Germana ; Gurrado, Angela ; Bonomo, G. Martino. / Management of retrosternal goiters : Experience of a surgical unit. In: International Surgery. 2005 ; Vol. 90, No. 2. pp. 61-65.
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