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Updated: Jul 11, 2026
04:09
Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
[Indications for sternotomy in thyroid surgery. Evolution over 20 years' experience].
J C Lifante1, J M Fernandez Vila, L Mingoutaud
1Service de Chirurgie, Centre Hospitalier Lyon Sud, Pierre Bénite Cedex.
Journal De Chirurgie
|October 11, 2007
Summary
Sternotomy is rarely needed for thyroid surgery, with evolving indications from benign goiters to malignancy. This approach adds moderately to hospital stay but does not increase morbidity.
Area of Science:
- Thoracic Surgery
- Endocrine Surgery
- Surgical Oncology
Context:
- Thyroidectomy is a common procedure, but sternotomy is a rare approach.
- Intrathoracic goiters and thyroid malignancies can necessitate sternotomy.
- Understanding the outcomes and indications of sternotomy in thyroid surgery is crucial.
Purpose:
- To analyze the incidence, indications, and outcomes of sternotomy in thyroidectomy over a 21-year period.
- To compare the evolution of sternotomy indications between two decades.
- To assess the morbidity and hospital stay associated with sternotomy compared to the cervical approach.
Summary:
- Over 11,000 thyroidectomies included 52 sternotomies (0.45%), with no post-operative deaths.
- Complications were infrequent (10%), including abscess, chylothorax, and pneumothorax.
- Indications shifted from benign intrathoracic goiters to thyroid malignancy, especially in reoperations.
Impact:
- Sternotomy is a safe, albeit rare, adjunct to thyroidectomy for specific indications.
- The study highlights a shift in surgical practice towards using sternotomy for complex thyroid malignancies.
- This analysis provides valuable data for surgical decision-making in challenging thyroidectomy cases.
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