Abstract:
Objective This work aimed to study surgical approaches and peri-operative management of substernal thyroid neoplasms.
Methods Data of 104 patients with substernal thyroid diseases who have undergone thyroidectomy operation at the Cancer Institute and Hospital since 2004 were retrospectively analyzed.
Results The collar incision in the lower neck was conducted in 102 of the 104 patients.Perpendicular sternal splitting incision was combined with tumor removal in the other two patients.No surgery-related death occurred in all cases.Among all cases, 52 had goiters, 41 had adenomas, 10 had papillary thyroid carcinomas, and 1 had follicular thyroid carcinoma.
Conclusion Most substernal thyroid neoplasms can be removed via cervical collar incision.The improved peri-operative management can reduce complications in cancer patients.