Surgical access for thoracic and intrathoracic goiter

Kotelnikova L.P.; Plaksin S.A.

doi:https://doi.org/10.17116/hirurgia202501154

Kotelnikova L.P.

Vagner Perm State Medical University

ORCID: 0000-0002-8602-1405

Plaksin S.A.

Vagner Perm State Medical University

ORCID: 0000-0001-8108-1655

Surgical access for thoracic and intrathoracic goiter

Authors:

Kotelnikova L.P., Plaksin S.A.

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Journal: Pirogov Russian Journal of Surgery. 2025;(1): 54‑61

DOI: 10.17116/hirurgia202501154

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To cite this article:

Kotelnikova LP, Plaksin SA. Surgical access for thoracic and intrathoracic goiter. Pirogov Russian Journal of Surgery. 2025;(1):54‑61. (In Russ.)
https://doi.org/10.17116/hirurgia202501154

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To evaluate the effectiveness of surgical approach for resection of retrosternal and intrathoracic goiter.

MATERIAL AND METHODS

There were 33 patients who underwent surgery for retrosternal (31) and intrathoracic goiter (2) through various surgical approaches. For retrosternal goiter, a Farabeuf hook was used to remove a large retrosternal component of tumor.

RESULTS

In 28 cases (84.8%), substernal goiter was resected through cervical collar incision. In 4 cases, a Farabeuf hook was used to extract retrosternal part of the goiter to the neck and avoid sternotomy. In one case, a combined approach was used (thoracoscopy and cervical collar incision). Sternotomy was performed in only one patient for suspected thyroid malignancy. In two patients with tumors of posterior mediastinum, intrathoracic goiter was removed through thoracoscopic access.

CONCLUSION

Cervical collar incision allows resection of retrosternal goiter in 84.4% of cases. Retrosternal part can be effectively displaced to the neck wound using a Farabeuf hook. Thoracoscopy is preferable for removal of intrathoracic goiter and can be used to mobilize a large node in mediastinum as an alternative to sternotomy.

Keywords:

retrosternal goiter

intrathoracic goiter

surgical treatment

thoracoscopy

sternotomy

Authors:

Kotelnikova L.P.

Vagner Perm State Medical University

ORCID: 0000-0002-8602-1405

Plaksin S.A.

Vagner Perm State Medical University

ORCID: 0000-0001-8108-1655

Received:

22.03.2024

Accepted:

10.04.2024

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