Resumo

RODRIGUEZ-RAMOS, David et al. Intrathoracic goiter resection by combined surgical approach: resection by right videothoracoscopy and cervicotomy. CES Med. [online]. 2016, vol.30, n.2, pp.210-216. ISSN 0120-8705.

Abstract Surgery is the recommended treatment for intrathoracic goiter. About 90 % of the lessons can be resected by cervicotomy. The posterior mediastinal goiter was been successfully managed using different cervico-thoracic approaches; however, there is little available information in the literature about the use of videothoracoscopy as part of these combined techniques. We present a case of a patient with a intrathoracic goiter extended to the posterior mediastinum, in which, given the characteristics of the mass and its location added to the widely known benefits of minimally invasive surgery, it was decided to replace thoracotomy and sternotomy with videothoracoscopy allowing good exposure and safe dissection of the mediastinum. We consider that videothoracoscopy is a safe and effective technique in selected cases of patients with goiter extending into the posterior mediastinum.

Palavras-chave : Intrathoracic goiter; Posterior mediastinum goiter; Videothoracoscopy; Thoracotomy; Sternotomy.

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