Malvicini G, Arcidiaco M, Valenti L
Chir Ital. 1985 Aug;37(4):419-30.
The Authors, on the basis of their experience, as well as of the data of the literature, discuss the problems of technique and tactics involved in the treatment of retrosternal goiters. As to the way of approach, they think cervicotomy should be primarily preferred, and the complementary sternotomy should be associated to the former only in some limited cases of totally dipped and large-sized goiter. They, moreover, assert that, beyond the diagnostical and therapeutical difficulties, endothoracic goiter, if adequately treated, keeps a favourable diagnosis, not dissimilar from the one of cervical goiters.
作者基于自身经验以及文献数据，探讨了胸骨后甲状腺肿治疗中涉及的技术和策略问题。关于手术入路方式，他们认为应首选颈部切口，仅在某些甲状腺完全坠入胸腔且体积较大的有限情况下，才应将补充性胸骨切开术与颈部切口联合使用。此外，他们断言，除了诊断和治疗上的困难外，胸内甲状腺肿如果得到充分治疗，其诊断结果良好，与颈部甲状腺肿的诊断结果并无不同。
