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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

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Cervical plexus block for thyroidectomy: experience with a giant goitre: case report.

G A Rahman¹, I K Kolawole

¹Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria. garahman1@yahoo.com

Nigerian Journal of Clinical Practice

|September 27, 2008

Summary

Bilateral superficial cervical plexus block offers a safe and effective anesthetic option for thyroidectomy, particularly for simple giant goiters. This technique proved simple, cheap, and well-tolerated by patients, enabling successful surgical outcomes.

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Area of Science:

Anesthesiology
Surgical Oncology

Background:

Local and regional anesthesia are established options for thyroidectomy.
Cervical plexus block has demonstrated utility for thyroid surgery globally.
Limited data exists on cervical plexus block for thyroidectomy in the local environment.

Observation:

A bilateral superficial cervical plexus block was administered to a 20-year-old female undergoing thyroidectomy for a simple multinodular goiter.
The procedure was conducted with the patient in the standard thyroidectomy position.
Continuous communication was maintained between the anesthetist and the lightly sedated patient.

Findings:

The anesthesia was largely effective, with tolerable patient complaints of pressure and postural discomfort.
The 2-hour 45-minute surgery proceeded without complications.
Postoperative oral fluid intake was initiated within 2 hours.

Implications:

Superficial cervical plexus block is a viable, cost-effective anesthetic method for thyroidectomy.
This technique is suitable for managing simple giant goiters.
The study supports the adoption of this anesthetic approach in similar clinical settings.