Avaliação crítica de 33 pacientes com bócio mergulhante tratados cirurgicamente por cervicotomia

• Autor(a) principal: Neves, Murilo Catafesta das [UNIFESP]
• Data de Publicação: 2009
• Outros Autores: Rosano, Marcello [UNIFESP], Hojaij, Flávio Carneiro [UNIFESP], Abrahão, Márcio [UNIFESP], Cervantes, Onivaldo [UNIFESP], Andreoni, Danielle Macellaro [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/0013000019cff
• DOI: 10.1590/S0034-72992009000200003
• Texto Completo: http://dx.doi.org/10.1590/S0034-72992009000200003; http://repositorio.unifesp.br/handle/11600/4987
• topic: substernal goiter; surgery; therapy; bócio subesternal; cirurgia; terapia

The possibility of needing a combined access, with neck and chest incisions makes the treatment of substernal goiter a challenge both in the pre-op and the intraoperative. We hereby, discuss a standardization of the surgical technique to minimize the need for a chest approach, making the substernal goiter a surgically treatable disease, through a single neck incision, and with low indices of complication. AIM: to assess the substernal goiter surgically approach through a neck incision and to analyze the surgical complications. MATERIALS AND METHODS: we carried out a historical cohort by retrospective analysis of the charts of patients submitted to thyroidectomy, and 33 of them (10.4%) had substernal goiter. RESULTS: all 33 patients were surgically treated through a neck incision without the need for sternotomy. We did not observe definitive lesions in the inferior laryngeal nerve or definitive hypoparathyroidism. Only 2 patients had recurrent nerve paresis; and 2 patients were re-operated because of a neck hematoma. CONCLUSION: patients with substernal goiter can be safely treated surgically through a single neck incision, bearing low complication rates.