Treatment of cervico-mediastinal goiters

doi:10.5412/wjsp.v3.i3.37

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World Journal of Surgical Procedures

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2219-2832

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Surg Proced. Nov 28, 2013; 3(3): 37-40
Published online Nov 28, 2013. doi: 10.5412/wjsp.v3.i3.37

Treatment of cervico-mediastinal goiters

Prospero Magistrelli, Luigi D’Ambra, Pierfrancesco Bonfante, Elisa Francone, Rossella Leoncini, Mario Cappagli, Emilio Falco

Prospero Magistrelli, Luigi D’Ambra, Pierfrancesco Bonfante, Elisa Francone, Emilio Falco, Department of Surgery, S. Andrea Hospital, 19100, La Spezia, Italy

Rossella Leoncini, Mario Cappagli, Department of Nuclear Medicine, S. Andrea Hospital, 19100 La Spezia, Italy

Author contributions: All the authors made substantial contributions to the concept, design, acquisition and interpretation of data, reading and approving the final version of the manuscript.

Correspondence to: Luigi D’Ambra, MD, Department of Surgery, S. Andrea Hospital, Via Vittorio Veneto 197, 19100 La Spezia, Italy. luigidambra68@libero.it

Telephone: +39-18-7533257 Fax: +39-18-7533465

Received: May 8, 2013
Revised: September 3, 2013
Accepted: November 1, 2013
Published online: November 28, 2013

Core Tip

Core tip: The majority of cervico-mediastinal goiters can be completely removed through a cervical incision. Volume reduction by a vascular peduncle ligature can facilitate the extraction of big goiters, with the result that sternotomy or thoracotomy is seldom necessary. Care must be taken to avoid recurrent laryngeal nerve injuries.