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Pechetov A.A.

Vishnevsky National Medical Research Center for Surgery

Gulova N.V.

Vishnevsky National Medical Research Center for Surgery

Volchansky D.A.

Vishnevsky National Medical Research Center for Surgery

Lednev A.N.

Vishnevsky National Medical Research Center for Surgery

Baeva A.I.

Vishnevsky National Medical Research Center for Surgery

Khlan T.N.

Vishnevsky National Medical Research Center for Surgery

Gruzdev I.S.

Vishnevsky National Medical Research Center for Surgery

Extracervical approach for retrosternal goiter

Authors:

Pechetov A.A., Gulova N.V., Volchansky D.A., Lednev A.N., Baeva A.I., Khlan T.N., Gruzdev I.S.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(5): 44‑50

DOI: 10.17116/hirurgia202505144

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Table of contents

EXTRACERVICAL APPROACH FOR RETROSTERNAL GOITER
EXTRACERVICAL APPROACH FOR RETROSTERNAL GOITER

To cite this article:

Pechetov AA, Gulova NV, Volchansky DA, Lednev AN, Baeva AI, Khlan TN, Gruzdev IS. Extracervical approach for retrosternal goiter. Pirogov Russian Journal of Surgery. 2025;(5):44‑50. (In Russ.)
https://doi.org/10.17116/hirurgia202505144

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze treatment outcomes in patients with retrosternal goiter.

MATERIAL AND METHODS

There were 13 patients aged 32—77 years with retrosternal goiter between 2016 and 2024. The ratio of men and women was 2:11.

RESULTS

Twelve patients underwent thyroidectomy, one patient — video-assisted thoracoscopic thymectomy with resection of aberrant goiter. Among 12 patients, thyroidectomy through collotomy was performed in 6 patients, sternotomy was performed in 5 patients. Aberrant goiter was removed through thoracotomy in one patient with recurrent retrosternal goiter. Complicated postoperative period was observed in 4 patients. Two patients underwent postoperative tracheostomy (prevention of respiratory failure following high risk of bilateral paresis of recurrent laryngeal nerves in one case and laryngeal edema in the second case). There were no deaths in long-term period.

CONCLUSION

Preoperative planning should include CT-based analysis of intrathoracic component of thyroid gland and volume of chest cavity. This is valuable to plan the optimal surgical approach and reduces the risk of intraoperative complications.

Keywords:

nodular goiter
retrosternal goiter
sternotomy
thyroidectomy
tracheomalacia

Authors:

Pechetov A.A.

Vishnevsky National Medical Research Center for Surgery

Gulova N.V.

Vishnevsky National Medical Research Center for Surgery

Volchansky D.A.

Vishnevsky National Medical Research Center for Surgery

Lednev A.N.

Vishnevsky National Medical Research Center for Surgery

Baeva A.I.

Vishnevsky National Medical Research Center for Surgery

Khlan T.N.

Vishnevsky National Medical Research Center for Surgery

Gruzdev I.S.

Vishnevsky National Medical Research Center for Surgery

Received:

23.07.2024

Accepted:

22.10.2024

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References:

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