Published online Nov 28, 2013. doi: 10.5412/wjsp.v3.i3.37
Revised: September 3, 2013
Accepted: November 1, 2013
Published online: November 28, 2013
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.