胸骨后甲状腺肿：胸外科医生的作用
Retrosternal goitre: the role of the thoracic surgeon.
作者信息
Tsilimigras Diamantis I, Patrini Davide, Antonopoulou Aspasia, Velissaris Dimitris, Koletsis Efstratios, Lawrence David, Panagiotopoulos Nikolaos
机构信息
Department of Cardiothoracic Surgery, University College London Hospitals (UCLH), London, UK.
Division of Internal Medicine, University of Patras, Patras, Greece.
出版信息
J Thorac Dis. 2017 Mar;9(3):860-863. doi: 10.21037/jtd.2017.02.56.
Abstract
Purpose of this Mini-Review is to evaluate the role of a thoracic surgeon in the surgical management of retrosternal goitre. A cervical approach is sufficient in the majority of the cases. On the other hand, there are cases where a cervical approach is combined with sternotomy or thoracotomy, depending on the position of the goitre, in the anterior or posterior mediastinum. On top of that, different minimally invasive approaches including video-assisted thoracoscopic surgery (VATS) and robotic-assisted surgery (RATS) have been introduced, providing faster recovery, superior manoeuvrability and better aesthetic results.
摘要
本综述的目的是评估胸外科医生在胸骨后甲状腺肿手术治疗中的作用。在大多数情况下，颈部入路就足够了。另一方面，根据甲状腺肿在前纵隔或后纵隔的位置，有些病例需要将颈部入路与胸骨切开术或开胸术相结合。除此之外，还引入了包括电视辅助胸腔镜手术（VATS）和机器人辅助手术（RATS）在内的不同微创方法，这些方法可实现更快的恢复、更好的可操作性和更佳的美观效果。
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本文引用的文献
1
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J Minim Access Surg. 2016 Jul-Sep;12(3):240-4. doi: 10.4103/0972-9941.181276.
2
Surgical management of substernal goitres at a tertiary referral centre: A retrospective cohort study of 2,104 patients.
Int J Surg. 2016 Mar;27:46-52. doi: 10.1016/j.ijsu.2016.01.032. Epub 2016 Feb 2.
3
Surgical management of cervico-mediastinal goiters: Our experience and review of the literature.
Int J Surg. 2016 Apr;28 Suppl 1:S47-53. doi: 10.1016/j.ijsu.2015.12.048. Epub 2015 Dec 23.
4
Surgical approach to mediastinal goiter: An update based on a retrospective cohort study.
Int J Surg. 2016 Apr;28 Suppl 1:S42-6. doi: 10.1016/j.ijsu.2015.12.058. Epub 2015 Dec 18.
5
Substernal goiter: when is a sternotomy required?
Int Surg. 2014 Jul-Aug;99(4):419-25. doi: 10.9738/INTSURG-D-14-00041.1.
6
Resection of huge retrosternal goiter through a novel combined cervical and robot-assisted approach.
Artif Organs. 2014 May;38(5):431-3. doi: 10.1111/aor.12196. Epub 2013 Oct 3.
7
A novel robot-assisted technique for excision of a posterior mediastinal thyroid goiter: a combined cervico-mediastinal approach.
Innovations (Phila). 2009 Jul;4(4):225-8. doi: 10.1097/IMI.0b013e3181a69bf0.
8
Single-institution experience on robot-assisted thoracoscopic operations for mediastinal diseases.
Innovations (Phila). 2011 Sep;6(5):316-22. doi: 10.1097/IMI.0b013e318235b783.
9
CT cross-sectional imaging classification system for substernal goiter based on risk factors for an extracervical surgical approach.
Head Neck. 2011 Jun;33(6):792-9. doi: 10.1002/hed.21539. Epub 2010 Aug 24.
10
The value of various definitions of intrathoracic goiter for predicting intra-operative and postoperative complications.
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