胸骨后甲状腺肿的手术入路。
Surgical approach to the substernal goiter.
机构信息
Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 1275 York Ave, C-1064, New York, NY 10021, USA.
出版信息
Best Pract Res Clin Endocrinol Metab. 2019 Aug;33(4):101312. doi: 10.1016/j.beem.2019.101312. Epub 2019 Aug 22.
Abstract
Surgery for substernal goiters can be technically demanding. Extensive mediastinal extension brings the thyroid gland into close quarters with vital intrathoracic structures. Proper preoperative planning is required to determine the potential need for an extracervical approach. Assessing the risk of requiring an extracervical approach is typically based on findings from cross-sectional imaging of the neck and chest. This article addresses the important anatomical considerations when resecting a large substernal goiter and also reviews various extracervical approaches.
摘要
胸骨后甲状腺肿的手术具有一定的技术难度。广泛的纵隔延伸使甲状腺与重要的胸腔内结构紧密相邻。需要进行适当的术前规划，以确定是否需要颈外入路。评估是否需要颈外入路的风险通常基于颈部和胸部的横断面成像检查结果。本文讨论了切除大型胸骨后甲状腺肿时的重要解剖学注意事项，并回顾了各种颈外入路方法。
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